Provider Demographics
NPI:1811536113
Name:HATS OF WISDOM
Entity type:Organization
Organization Name:HATS OF WISDOM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:907-803-7022
Mailing Address - Street 1:PO BOX 809
Mailing Address - Street 2:
Mailing Address - City:DELTA JUNCTION
Mailing Address - State:AK
Mailing Address - Zip Code:99737-0809
Mailing Address - Country:US
Mailing Address - Phone:907-803-7022
Mailing Address - Fax:907-895-2020
Practice Address - Street 1:MILE 266.5 RICHARDSON HWY
Practice Address - Street 2:
Practice Address - City:DELTA JUNCTION
Practice Address - State:AK
Practice Address - Zip Code:99737-0809
Practice Address - Country:US
Practice Address - Phone:907-803-7022
Practice Address - Fax:907-895-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-03
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty