Making A Difference Support Services
LBN: Making A Difference Support Services
Making A Difference Support Services is an health care organization with primary practice located at 1867 Airport Way Suite 200, Fairbanks AK 99701-4054. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Making A Difference Support Services can be contacted via phone (907) 750-7169, or through Mccormick, Crystal via phone (907) 750-7169.
Contact Information
Primary practice address
1867 Airport Way Suite 200
Fairbanks AK 99701-4054
Phone: (907) 750-7169
Fax: (907) 490-4469
Website:
Authorized official contact:
Name: Mccormick, Crystal Licensed Clinical Social Worker (LCSW)
Phone: (907) 750-7169
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1053 | Alaska |
Profile Details
| NPI number | 1558715391 |
|---|---|
| LBN Legal business name | Making A Difference Support Services |
| DBA Doing business as | |
| Authorized official | Mccormick, Crystal Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 18th, 2016 |
| Last updated | Apr 18th, 2016 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558715391 | NPPES |
| Alaska | MEDICAID | 1634221 | |
| Alaska | Other | K164905 |
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