Provider Demographics
NPI:1811742315
Name:COMFORT COUNSELING LLC
Entity type:Organization
Organization Name:COMFORT COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:ELBERT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:907-378-6086
Mailing Address - Street 1:1915 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99709-4224
Mailing Address - Country:US
Mailing Address - Phone:907-378-6086
Mailing Address - Fax:
Practice Address - Street 1:3550 AIRPORT WAY STE 3
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99709-4772
Practice Address - Country:US
Practice Address - Phone:907-931-9964
Practice Address - Fax:907-921-5098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)