Healthcare Provider Details

I. General information

NPI: 1225341969
Provider Name (Legal Business Name): ALASKA COUNSELING EXCELLENCE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2010
Last Update Date: 06/10/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 E PALMER-WASILLA HWY SUITE A
WASILLA AK
99654-7339
US

IV. Provider business mailing address

2801 E PALMER-WASILLA HWY SUITE A
WASILLA AK
99654-7339
US

V. Phone/Fax

Practice location:
  • Phone: 907-373-5331
  • Fax: 907-373-5334
Mailing address:
  • Phone: 907-373-5331
  • Fax: 907-373-5334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number330
License Number StateAK

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. THOMAS ALLEN LYTLE SR.
Title or Position: PRESIDENT
Credential: MA, LPC-S, NCC, MAC
Phone: 907-373-5331