Heidi Eileen Rose, MFT
Individual provider Active NPI Marriage & Family Therapist · Fairbanks, AK
NPI 1487301974 · NPPES record last updated Mar 4, 2022
Key facts
- NPI
- 1487301974
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Practice address
- 3504 Industrial Ave Ste 214
Fairbanks, AK 99701-7390 - Phone
- (907) 452-4673
- NPI assigned
- Mar 4, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace in Motion | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Yes |
Addresses
Primary practice location
3504 Industrial Ave Ste 214
Fairbanks, AK 99701-7390
Mailing address
4005 Teal Ave
Fairbanks, AK 99709-3521
Phone (907) 712-4300
Other providers in Fairbanks, AK
- Ronald M. Teel DDS, PC
- Traci Lynn Roon
- Lisa Root
- Nikki Rosauer
- Carol J Rose
- Jeri Rosenbloom
- Danay Rosendahl
- Brenda Susan Rosenthal
- Robert L Rosentreter III
- Ruth Rosentreter
All providers in Fairbanks, AK · Marriage & Family Therapist in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.