Organization
SOLOMON PORCH LLC
Active
Organization
SOLOMON PORCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ROOT LPC, PSYD (SOLE MEMBER)
(907) 350-4353
Entity
Organization
Contact information
Practice address
626 2ND ST STE 101, FAIRBANKS, AK 99701-3466
(907) 350-4353
Mailing address
626 2ND ST STE 101, FAIRBANKS, AK 99701-3466
(907) 350-4353
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
101191
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10031301
ALASKA ENTITY
AK
Enumeration date
08/07/2015
Last updated
08/07/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up