OrganizationActive
Therapy Distinct LLC
NPI 1700470663 · Adult Mental Health Clinic/Center · Palmer, AK
Provider details
- NPI number
- 1700470663
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Chelsa Dorman, Sole Member(907) 231-6151
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4786 N Sandra J Cir
Palmer, AK 99645-7912
Phone: (907) 231-6151
Approximate (ZIP-level) locationGet directions
Mailing address
4786 N Sandra J Cir
Palmer, AK 99645-7912
Registry dates
- Enumerated
- 2021-02-22
- Last updated
- 2021-02-22
- Certified
- 2021-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.