Organization · Type 2 NPI

Spiritual Restoration Ministry Llc.

Counselor · Anchorage, AK

NPI number 1386117729 Active

Practice location

1601 E 84th Ave Ste 203
Anchorage, AK 99507-3160

Specialties and licenses

Taxonomy	Code	License
Counselor Primary	101Y00000X	None listed
Pastoral Counselor	101YP1600X	None listed
Case Manager/Care Coordinator	171M00000X	None listed
Case Management Agency	251B00000X	None listed
Recovery Care Clinic/Center	261QR0800X	None listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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NPI record

NPI: 1386117729
Entity type: Organization (Type 2)
Issued: Jan 8, 2019
Last updated: Feb 27, 2019
Status: Active

Other names

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Ready Set Launch Reentry Program and Support Services · doing business as
Ready Set Launch Reentry Program and Support Services · doing business as

Authorized official

Mr. Cordles Walker Rodriguez, ETC
Deputy Director
(907) 992-2320

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386117729

Spiritual Restoration Ministry Llc.'s National Provider Identifier is 1386117729, issued on Jan 8, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Anchorage, AK. The record was last updated on Feb 27, 2019.