FLT LLC

Clinical Social Worker · Fairbanks, AK

Organization Active NPI

NPI number 1306215587

Practice location

250 Cushman St Ste 4f
Fairbanks, AK 99701-4665
Phone
(907) 457-1128
Fax
(907) 457-1124

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NPI record

NPI
1306215587
Entity type
Organization (Type 2)
Enumeration date
September 17, 2015
Last updated
March 4, 2016
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 1025780 AK

Mailing address

PO Box 80361
Fairbanks, AK 99708-0361
Phone
(907) 457-1128
Fax
(907) 457-1124

Authorized official

Name
Randy Lewis, LCSW
Title
Managing Member
Phone
(907) 457-1128

About FLT LLC

FLT LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 250 Cushman St Ste 4f, Fairbanks, AK 99701-4665. The NPI number 1306215587 was assigned on September 17, 2015 and the record was last updated on March 4, 2016.

FLT LLC lists a license in the registry: #1025780 (AK) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Randy Lewis, LCSW, Managing Member.

Frequently asked questions

What is the NPI number of FLT LLC?

The NPI number is 1306215587.

What is the phone number of FLT LLC?

The phone number listed for the practice location is (907) 457-1128.

Where is FLT LLC located?

250 Cushman St Ste 4f, Fairbanks, AK 99701-4665.

What is the taxonomy code for FLT LLC?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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