Provider Demographics
NPI:1801549795
Name:ALPINE RELIEF THERAPY LLC
Entity type:Organization
Organization Name:ALPINE RELIEF THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:IWAMOTO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:907-215-2501
Mailing Address - Street 1:12110 BUSINESS BLVD STE 6 #109
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-7798
Mailing Address - Country:US
Mailing Address - Phone:907-215-2501
Mailing Address - Fax:
Practice Address - Street 1:12110 BUSINESS BLVD STE 6
Practice Address - Street 2:
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577-7798
Practice Address - Country:US
Practice Address - Phone:908-619-5656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-31
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealthGroup - Single Specialty