Provider Demographics
NPI:1841031283
Name:CATALYST COUNSELING & WELLNESS GROUP INC
Entity type:Organization
Organization Name:CATALYST COUNSELING & WELLNESS GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:
Authorized Official - Last Name:GELVIN-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LPCS
Authorized Official - Phone:907-322-2019
Mailing Address - Street 1:PO BOX 61046
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99706-1046
Mailing Address - Country:US
Mailing Address - Phone:907-322-3033
Mailing Address - Fax:907-202-9230
Practice Address - Street 1:1431 GILLAM WAY
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-6043
Practice Address - Country:US
Practice Address - Phone:907-322-3033
Practice Address - Fax:907-202-9230
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLARITY COUNSELING SERVICES OF ALASKA INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-31
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1356835144OtherLICENSED PROFESSIONAL COUNSELOR
AK1891294617OtherLICENSED PROFESSIONAL COUNSELOR