# ALASKA INTEGRATIVE PSYCHIATRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124710058
- **Authorized official:** ANDREA SIEGFRIED APRN (CEO)
- **Authorized official phone:** (907) 921-1331

## Contact information

- **Practice address:** 4141 B ST STE 305, ANCHORAGE, AK 99503-5941
- **Practice address phone:** (907) 921-1331
- **Practice address fax:** (907) 802-6630
- **Mailing address:** 4141 B ST STE 305, ANCHORAGE, AK 99503-5941
- **Mailing address phone:** (907) 921-1331
- **Mailing address fax:** (907) 802-6630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2023
- **Last updated:** 02/06/2024