| The Mental Health Co-op Llc | |
|
1901 N Hemmer Rd Ste 209 Palmer AK 99645-9690 | |
| (907) 390-0542 | |
| Not Available |
| Full Name | The Mental Health Co-op Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1901 N Hemmer Rd Ste 209, Palmer, Alaska |
| Authorized Official Name and Position | Carolina Hernandez Powers (CO-OWNER) |
| Authorized Official Contact | 9073310123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mental Health Co-op Llc Po Box 3731 Palmer AK 99645-3731 Ph: (907) 390-0542 | The Mental Health Co-op Llc 1901 N Hemmer Rd Ste 209 Palmer AK 99645-9690 Ph: (907) 390-0542 |
| NPI Number | 1932832086 |
|---|---|
| Provider Enumeration Date | 07/06/2022 |
| Last Update Date | 03/31/2025 |
| Certification Date | 03/31/2025 |
| Medicare PECOS PAC ID | 0143747881 |
|---|---|
| Medicare Enrollment ID | O20250507000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932832086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kristine Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164086765 PECOS PAC ID: 5193242501 Enrollment ID: I20250508003355 |
| Provider Name | Bernice Nisbett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639769128 PECOS PAC ID: 8921527243 Enrollment ID: I20250529001794 |
| Provider Name | Felicia Marie Zambrano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386900264 PECOS PAC ID: 9436668787 Enrollment ID: I20250529004065 |
| Provider Name | Theresa Hudgins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235542879 PECOS PAC ID: 0042737785 Enrollment ID: I20250602001359 |
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