Provider Demographics
NPI:1083868566
Name:PEACE OF MIND CARE MANAGEMENT
Entity Type:Organization
Organization Name:PEACE OF MIND CARE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INDEPENDENT CARE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:SASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:907-562-0816
Mailing Address - Street 1:PO BOX 243736
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99524-3736
Mailing Address - Country:US
Mailing Address - Phone:907-562-0816
Mailing Address - Fax:907-562-0817
Practice Address - Street 1:1901 S SALEM DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5158
Practice Address - Country:US
Practice Address - Phone:907-562-0816
Practice Address - Fax:907-562-0817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK783251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management