Provider Demographics
NPI:1003367822
Name:HEALTHY PSYCHOLOGICAL FUTURES LLC
Entity Type:Organization
Organization Name:HEALTHY PSYCHOLOGICAL FUTURES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DESTINY
Authorized Official - Middle Name:S
Authorized Official - Last Name:SARGEANT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:907-723-9828
Mailing Address - Street 1:PO BOX 34881
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99803-4881
Mailing Address - Country:US
Mailing Address - Phone:907-723-9828
Mailing Address - Fax:
Practice Address - Street 1:9000 GLACIER HWY
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-8032
Practice Address - Country:US
Practice Address - Phone:907-723-9828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-17
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKPSYP348103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty