# ANCHORAGE COMMUNITY MENTAL HEALTH SERVICES INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alaska Behavioral Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255047635
- **Authorized official:** ASHLEY EVENSON (REVENUE CYCLE MANAGER)
- **Authorized official phone:** (907) 261-5317

## Contact information

- **Practice address:** 4120 LAUREL ST, ANCHORAGE, AK 99508-5392
- **Practice address phone:** (907) 563-1000
- **Mailing address:** 4045 LAKE OTIS PKWY STE 209, ANCHORAGE, AK 99508-5227
- **Mailing address phone:** (907) 563-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/27/2023
- **Last updated:** 01/27/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1020991 | — | AK |