Provider Demographics
NPI:1619644846
Name:PLEASANTS INTEGRATIVE HEALTH CONSULTANTS
Entity Type:Organization
Organization Name:PLEASANTS INTEGRATIVE HEALTH CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:PLEASANTS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, FNP-C,PMHNP-BC
Authorized Official - Phone:907-723-8063
Mailing Address - Street 1:3220 HOSPITAL DR STE 101
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-7899
Mailing Address - Country:US
Mailing Address - Phone:907-364-2668
Mailing Address - Fax:907-586-0198
Practice Address - Street 1:3220 HOSPITAL DR STE 101
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-7899
Practice Address - Country:US
Practice Address - Phone:907-364-2668
Practice Address - Fax:907-586-0198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty