| Mr Andrew Ransom Harlos, | |
|
1130 Lindblad Ave, Girdwood, AK 99587-1130 | |
| (907) 783-1355 | |
| (907) 783-1357 |
| Full Name | Mr Andrew Ransom Harlos |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 8 Years |
| Location | 1130 Lindblad Ave, Girdwood, Alaska |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306120365 | NPI | - | NPPES |
| 1754784 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 207430 (Alaska) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Girdwood Health Clinic, Inc. | 4688836216 | 8 |
| Entity Name | Girdwood Health Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851662233 PECOS PAC ID: 4688836216 Enrollment ID: O20120427000146 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Andrew Ransom Harlos, Po Box 1130, Girdwood, AK 99587-1130 Ph: (907) 783-1355 | Mr Andrew Ransom Harlos, 1130 Lindblad Ave, Girdwood, AK 99587-1130 Ph: (907) 783-1355 |
Dr. Shirley Kay Durtschi, PH.D., L.P,C., CDCII Counselor Medicare: Not Enrolled in Medicare Practice Location: 273 Crystal Mountain Rd., Girdwood, AK 99587 Phone: 907-382-6477 Fax: 907-729-5071 | |
Jennifer L Hensley, MA, LPC, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 196 Crystal Mountain Rd, Girdwood, AK 99587 Phone: 907-203-7295 | |
Aries M Mcginnis, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1714 Alyeska Highway, Girdwood, AK 99587 Phone: 801-960-0005 |