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NPI Code Detail

MEDICARE: SEA SPARROW COUNSELING, LLC

MEDICARE: SEA SPARROW COUNSELING, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1164387247
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEA SPARROW COUNSELING, LLC
Provider Business Mailing Address
First Line : 1060 E END RD
Second Line :
City : HOMER
State : AK
Zip : 99603-7205
Country : US
Telephone Number : 907-235-2102
Fax Number : 907-759-7211
Provider Business Practice Location Address
First Line : 1060 E END RD
Second Line :
City : HOMER
State : AK
Zip : 99603-7205
Country : US
Telephone Number : 907-235-2102
Fax Number : 907-759-7211
Authorized Official
Title or Position : OWNER/THERAPIST
Name : IRENE S SAXTON
Credential : LCSW
Telephone Number : 971-678-1676
Provider Enumeration Date : 12/19/2025
Last Update Date : 12/19/2025

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Directions to “SEA SPARROW COUNSELING, LLC ” Practice Location

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