Provider Demographics
NPI:1295007078
Name:ALPENGLOW COUNSELING, LLC
Entity Type:Organization
Organization Name:ALPENGLOW COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GRUHL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, MSCP
Authorized Official - Phone:907-903-5352
Mailing Address - Street 1:16600 CENTERFIELD DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-7718
Mailing Address - Country:US
Mailing Address - Phone:907-903-5352
Mailing Address - Fax:
Practice Address - Street 1:16600 CENTERFIELD DR
Practice Address - Street 2:SUITE 201
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577-7718
Practice Address - Country:US
Practice Address - Phone:907-903-5352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK727101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty