Provider Demographics
NPI:1992836670
Name:BEHAVIORAL HEALTH TREATMENT CENTER
Entity Type:Organization
Organization Name:BEHAVIORAL HEALTH TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DESIRE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEPLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-746-6231
Mailing Address - Street 1:5851 E MAYFLOWER COURT
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654
Mailing Address - Country:US
Mailing Address - Phone:907-376-4000
Mailing Address - Fax:907-373-1135
Practice Address - Street 1:5851 E MAYFLOWER COURT
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654
Practice Address - Country:US
Practice Address - Phone:907-376-4000
Practice Address - Fax:907-373-1135
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALASKA FAMILY SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-07
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKDA8235Medicaid
AKMH6030Medicaid