| Luigia Goodman Llc | |
|
5239 E 26th Ave Anchorage AK 99508-3853 | |
| (718) 781-2255 | |
| Not Available |
| Full Name | Luigia Goodman Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5239 E 26th Ave, Anchorage, Alaska |
| Authorized Official Name and Position | Luigia Goodman (MENTAL HEALTH CLINICIAN) |
| Authorized Official Contact | 7187812255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luigia Goodman Llc 2440 E Tudor Rd Anchorage AK 99507-1185 Ph: () - | Luigia Goodman Llc 5239 E 26th Ave Anchorage AK 99508-3853 Ph: (718) 781-2255 |
| NPI Number | 1073196721 |
|---|---|
| Provider Enumeration Date | 04/30/2021 |
| Last Update Date | 04/30/2021 |
| Certification Date | 04/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073196721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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