Healthcare Provider Details

I. General information

NPI: 1376473793
Provider Name (Legal Business Name): ELIZABETH REILAND LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23336 LOWER TERRACE ST
EAGLE RIVER AK
99577-9634
US

IV. Provider business mailing address

23336 LOWER TERRACE ST
EAGLE RIVER AK
99577-9634
US

V. Phone/Fax

Practice location:
  • Phone: 907-727-3060
  • Fax:
Mailing address:
  • Phone: 907-727-3060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180485
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: