| Playful Journeys, Inc | |
|
634 S Bailey St Ste 103 Palmer AK 99645-6360 | |
| (907) 376-9091 | |
| (907) 376-9094 |
| Full Name | Playful Journeys, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 634 S Bailey St Ste 103, Palmer, Alaska |
| Authorized Official Name and Position | Lori Houston (OWNER, CLINICAL DIRECTOR) |
| Authorized Official Contact | 9073769091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Playful Journeys, Inc 1150 S Colony Way Ste 3 Palmer AK 99645-6972 Ph: (907) 376-9091 | Playful Journeys, Inc 634 S Bailey St Ste 103 Palmer AK 99645-6360 Ph: (907) 376-9091 |
| NPI Number | 1417559998 |
|---|---|
| Provider Enumeration Date | 11/10/2020 |
| Last Update Date | 05/28/2021 |
| Certification Date | 05/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417559998 | NPI | - | NPPES |
| 1694035 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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