Provider Demographics
NPI:1790425239
Name:AURORA COUNSELING & NEUROTHERAPY, LLC
Entity Type:Organization
Organization Name:AURORA COUNSELING & NEUROTHERAPY, LLC
Other - Org Name:SARA WOOD COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:O'BRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-799-7500
Mailing Address - Street 1:1867 AIRPORT WAY STE 110B
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99701-4054
Mailing Address - Country:US
Mailing Address - Phone:907-799-7500
Mailing Address - Fax:888-251-1647
Practice Address - Street 1:1867 AIRPORT WAY STE 110B
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-4054
Practice Address - Country:US
Practice Address - Phone:907-799-7500
Practice Address - Fax:888-251-1647
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SARA WOOD COUNSELING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-31
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty