Provider Demographics
NPI:1558991323
Name:HATCHER PASS COUNSELING AND CONSULTATION LLC
Entity type:Organization
Organization Name:HATCHER PASS COUNSELING AND CONSULTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:MEIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-312-1677
Mailing Address - Street 1:PO BOX 64
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645-0064
Mailing Address - Country:US
Mailing Address - Phone:907-312-1677
Mailing Address - Fax:907-313-1416
Practice Address - Street 1:720 E EVERGREEN AVE STE B
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-6660
Practice Address - Country:US
Practice Address - Phone:907-312-1677
Practice Address - Fax:907-313-1416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-21
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
14578741OtherCAQH