Spur Trail Ventures LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SPUR TRAIL VENTURES LLC

Practice address

2526 Arlington Dr
Anchorage, AK 99517-1303

Phone

(617) 650-2207

NPI assigned

Nov 25, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rachad Rayess, MD

Title

Manager

Phone

(617) 650-2207

Specialties & licenses 1

Addresses

Other names 1

• Serenity Plus Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1649096686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2526 ARLINGTON DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995171303",
            "telephone_number": "617-650-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 ARLINGTON DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995171303",
            "telephone_number": "617-650-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPUR TRAIL VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-24",
        "status": "A",
        "authorized_official_last_name": "RAYESS",
        "authorized_official_first_name": "RACHAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-650-2207",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles F Spruance, RN BSN
• Spruce Cove Acupuncture LLC
• Spruce Harbor Assisted Living
• Stephanie L Spry
• Beverly J Spud
• Alton Spurgeon, OTR,L
• Lisa Xiao Spurlock, PA-C
• Krista Maria Squire, BHS
• Sra D.O. LLC
• Jaden Kaythel Srisaneha

• Mental Health Clinic/Center (Including Community Mental Health Center) in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.