Provider Demographics
NPI:1790017499
Name:PLEIADES COUNSELING INC.
Entity Type:Organization
Organization Name:PLEIADES COUNSELING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TIMA
Authorized Official - Middle Name:C
Authorized Official - Last Name:PRIESS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:907-452-8438
Mailing Address - Street 1:PO BOX 213
Mailing Address - Street 2:
Mailing Address - City:ESTER
Mailing Address - State:AK
Mailing Address - Zip Code:99725-0213
Mailing Address - Country:US
Mailing Address - Phone:907-452-8438
Mailing Address - Fax:907-452-8438
Practice Address - Street 1:543 5TH AVENUE
Practice Address - Street 2:SUITE 201
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701
Practice Address - Country:US
Practice Address - Phone:907-452-8438
Practice Address - Fax:907-452-8438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-04
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKAA107101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty