Organization · Type 2 NPI
Petersburg Mental Health Services, Inc.
Mental Health Clinic/Center (Including Community Mental Health Center) · Petersburg, AK
NPI number
1174690309
Active
Practice location
201 North Nordic Drive
Petersburg, AK 99833-1309
Fax (888) 858-8850
Mailing address
PO Box 1309
Petersburg, AK 99833-1309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 282463 (AK) |
| Clinical Social Worker | 1041C0700X | 282463 (AK) |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | 282463 (AK) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
6 other providers at this address
- Petersburg Mental Health ServicesSocial Worker Petersburg, AK NPI 1922443969
- Chadwick Wright, MSMental Health Counselor Petersburg, AK NPI 1063758688
- Jessica YoumansCommunity/Behavioral Health Agency Petersburg, AK NPI 1760878565
- Mark Walker, LCSWClinical Social Worker Petersburg, AK NPI 1376703025
- Mary Susan TiedenMental Health Counselor Petersburg, AK NPI 1508188582
- Susan Ohmer, LCSWClinical Social Worker Petersburg, AK NPI 1295995942
About NPI 1174690309
Petersburg Mental Health Services, Inc.'s National Provider Identifier is 1174690309, issued on Nov 30, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Petersburg, AK. The record was last updated on Jul 22, 2010.