National Provider Identifier Database

BEAR MOUNTAIN CLINICAL SERVICES LLC
Mental Health


Contact Information

BEAR MOUNTAIN CLINICAL SERVICES LLC
24813 FASSLER CIR
CHUGIAK, AK99567-5767
Phone: 907-691-4528
Fax:
Website:
Specialty Taxonomy Code
* Mental Health 101YM0800X

* Indicates primary specialty

NPI Profile & details for BEAR MOUNTAIN CLINICAL SERVICES LLC

NPI Number 1700653037
Legal business name
LBN
BEAR MOUNTAIN CLINICAL SERVICES LLC
Authorized official JENNIE SCHROLL - (CLINICIAN/OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/06/2023
Last updated 12/06/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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