Provider Demographics
NPI:1477682623
Name:COUNSELING SOLUTIONS OF ALASKA LLC
Entity Type:Organization
Organization Name:COUNSELING SOLUTIONS OF ALASKA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:GIANOTTI
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT LPC
Authorized Official - Phone:907-644-8044
Mailing Address - Street 1:PO BOX 240068
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99524-0068
Mailing Address - Country:US
Mailing Address - Phone:907-644-8044
Mailing Address - Fax:907-644-8004
Practice Address - Street 1:701 E TUDOR RD
Practice Address - Street 2:SUITE 135
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-7409
Practice Address - Country:US
Practice Address - Phone:907-644-8044
Practice Address - Fax:907-644-8004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TC0700X, 1041C0700X, 106H00000X, 2084P0800X, 363LP0808X
AK261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty