Healthcare Provider Details

I. General information

NPI: 1245902139
Provider Name (Legal Business Name): EMILY HOUK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2021
Last Update Date: 11/05/2021
Certification Date: 11/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5851 E MAYFLOWER CT
WASILLA AK
99654-7881
US

IV. Provider business mailing address

1825 S CHUGACH ST
PALMER AK
99645-6795
US

V. Phone/Fax

Practice location:
  • Phone: 907-376-4000
  • Fax: 907-373-1135
Mailing address:
  • Phone: 907-745-4920
  • Fax: 907-745-4929

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VII. Legacy identifiers

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: