Provider Demographics
NPI:1437499597
Name:LINDLEY, MILDRED SHARON (MA)
Entity Type:Individual
Prefix:MRS
First Name:MILDRED
Middle Name:SHARON
Last Name:LINDLEY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:MILDRED
Other - Middle Name:SHARON
Other - Last Name:CHASE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 528
Mailing Address - Street 2:ATTN: BH EMERGENCY SERVICE
Mailing Address - City:BETHEL
Mailing Address - State:AK
Mailing Address - Zip Code:99559-0528
Mailing Address - Country:US
Mailing Address - Phone:907-543-6100
Mailing Address - Fax:904-543-6159
Practice Address - Street 1:CHIEF EDDIE HOFFMAN HIGHWAY, BUILDING SUITE #150
Practice Address - Street 2:YKHC BH EMERGENCY SERVICE
Practice Address - City:BETHEL
Practice Address - State:AK
Practice Address - Zip Code:99559-0528
Practice Address - Country:US
Practice Address - Phone:907-543-6100
Practice Address - Fax:907-543-6159
Is Sole Proprietor?:No
Enumeration Date:2013-02-26
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1020986Medicaid
AK1020986Medicaid