Provider Demographics
NPI:1902190754
Name:CORRINA RINELLA LLC
Entity type:Organization
Organization Name:CORRINA RINELLA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CORRINA
Authorized Official - Middle Name:BROOKE
Authorized Official - Last Name:RINELLA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:907-227-4306
Mailing Address - Street 1:125 CHRISTENSEN DR # 2
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99501-2152
Mailing Address - Country:US
Mailing Address - Phone:907-227-4306
Mailing Address - Fax:
Practice Address - Street 1:125 CHRISTENSEN DR # 2
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-2152
Practice Address - Country:US
Practice Address - Phone:907-227-4306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK8561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty