Provider Demographics
NPI:1013752922
Name:SILVER FERN BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:SILVER FERN BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIERRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRECHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-250-8334
Mailing Address - Street 1:205 E DIMOND BLVD # 242
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-1909
Mailing Address - Country:US
Mailing Address - Phone:907-308-3843
Mailing Address - Fax:907-308-4022
Practice Address - Street 1:1127 W. 7TH AVE
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501
Practice Address - Country:US
Practice Address - Phone:907-308-3843
Practice Address - Fax:907-308-4022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty