Tanana Valley Clinic Llc
Group Psychotherapy - Psychology Clinic
1001 Noble St, Fairbanks
Alaska, 99701-4948
907-459-3500 907-459-3526
Maps & DirectionsTanana Valley Clinic Llc is a Group Psychotherapy - Psychology Clinic in Fairbanks, Alaska. This organization is also known as sub part of Foundation Health Llc. It is located at 1001 Noble St, Fairbanks, AK and its contact number is 907-459-3500. The authorized person for Tanana Valley Clinic Llc is Anthony G Sudduth
who is Cfo of the clinic and his/her contact number is 907-458-5300. The primary license number for Tanana Valley Clinic Llc is 1043161 (Multi-Specialty) in Alaska.
Tanana Valley Clinic Llc Clinic is specialized to perform group therapy, a form of psychotherapy in which one or more therapists treat a small group of clients together as a group. It can be any form of psychotherapy which is delivered in a group format, including cognitive behavioural therapy or interpersonal therapy, but it is usually psychodynamic group therapy where the group context and group process is explicitly utilised as a mechanism of change by developing, exploring and examining interpersonal relationships within the group.
Complete Clinic Profile:
Tanana Valley Clinic Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Tanana Valley Clinic Llc |
| Specialization: | Group Psychotherapy |
| Clinic Address: | 1001 Noble St, Fairbanks,
Alaska, 99701-4948 |
| Phone: | 907-459-3500 |
| Fax: | 907-459-3526 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Anthony G Sudduth |
| Position: | Cfo |
| Contact Number: | 907-458-5300 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Tanana Valley Clinic Llc clinic are as mentioned below.
| NPI Number: | 1922559558 |
| Parent Organization: | Foundation Health Llc |
| NPI Enumeration Date: | 19 Oct, 2016 |
| NPI Last Update On: | 15 Jul, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tanana Valley Clinic Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Multi-Specialty | 1043161 | Alaska | Primary | |
| Group Psychotherapy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1680751 | Medicaid | Alaska | |
| 1656231 | Medicaid | Alaska | |
| 1656211 | Medicaid | Alaska | |
| 1656237 | Medicaid | Alaska | |
| 1740002 | Medicaid | Alaska | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Tanana Valley Clinic Llc
Po Box 73720,
Fairbanks, Alaska |
| Zip: | 99707-3720 |
| Phone Number: | 907-459-3500 |
| Fax Number: | 907-459-3526 |
Patients can reach Tanana Valley Clinic Llc at
1001 Noble St, Fairbanks, Alaska or can
call to book an appointment on 907-459-3500.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.