Fairbanks Community Mental Health Services, LLC

NPI #1972987998 in Fairbanks, Alaska

Provider Information

NPI Number: 1972987998
Entity Type: Organization
Organization Name: Fairbanks Community Mental Health Services, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: ANCHORAGE COMMUNITY MENTAL HEALTH SERVICES, INC
Primary Specialty: Psychologist - Prescribing (Medical)
Enumeration Date: Jul 20, 2015
Last Updated: Jul 20, 2015

Practice Location

Address: 3830 S CUSHMAN ST
City: Fairbanks
State: Alaska
ZIP Code: 99701-7530
Phone: (907) 371-1300

Authorized Official

Name: AMY MORROW
Title: BILLING MANAGER
Phone: (907) 762-2820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Rehabilitation — Rehabilitation	103TR0400X
Psychologist - Prescribing (Medical) — Prescribing (Medical)	103TP0016X	Primary

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