Provider Demographics
NPI:1639997745
Name:ART THERAPY AK LLC
Entity type:Organization
Organization Name:ART THERAPY AK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:G
Authorized Official - Last Name:KAJDAN BELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:907-575-7027
Mailing Address - Street 1:3901 DANDELION WINE CIR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-3096
Mailing Address - Country:US
Mailing Address - Phone:907-575-7027
Mailing Address - Fax:907-313-2525
Practice Address - Street 1:1441 W NORTHERN LIGHTS BLVD STE G
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-2324
Practice Address - Country:US
Practice Address - Phone:907-575-7027
Practice Address - Fax:907-313-2525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)