Organization
FORGET-ME-NOTWELLNESS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE RENEE BROWN LPN/COUNSELOR (OWNER/LPN/COUNSELOR)
(907) 891-1878
Entity
Organization
Contact information
Practice address
401 E NORTHERN LIGHTS BLVD STE 205, ANCHORAGE, AK 99503-2814
(907) 891-1878
Mailing address
401 E NORTHERN LIGHTS BLVD STE 205, ANCHORAGE, AK 99503-2814
(907) 891-1878
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578111423
—
AK
05
—
84-191380
—
AK
Enumeration date
10/03/2019
Last updated
10/03/2019
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