Organization
TOK AREA MENTAL HEALTH COUNCIL, INC.
Active
Other names
Tok Area Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ORA L LOWERY M.A. LPC.,DI (DIRECTORS)
(907) 883-5855
Entity
Organization
Contact information
Practice address
W.1ST STREET, SUITE 8, TOK, AK 99780-0398
(907) 883-5106
(907) 883-5108
Mailing address
PO BOX 398, W.1ST ST SUITE 8, TOK, AK 99780-0398
(907) 883-5106
(907) 883-5108
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
183290
AK
261QM0850X
Adult Mental Health Clinic/Center
183290
AK
261QM0855X
Adolescent and Children Mental Health Clinic/Center
183290
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183290
ALASKA BUSINESS LICENSE #
AK
01
—
20456D
DCCED CBPL AK ENTITY #
AK
05
—
MH0285
—
AK
01
—
TAM84686
STATE OF AK VENDOR ID #
AK
Enumeration date
05/23/2007
Last updated
06/21/2018
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