Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Headwaters Wellness and Counseling LLC

Organization Professional Counselor · NPI 1962945709

Headwaters Wellness and Counseling LLC provides Professional Counselor services in Fairbanks, Alaska. Licensed in Alaska. Registered with an NPI since 2016.

Licensed in
AK
In the registry since
2016
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

250 Cushman St Ste 4J
Fairbanks, AK 99701-4665
Phone: (907) 456-2256
Fax: (907) 456-2260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PCOC613 (AK)
Adult Mental Health Clinic/Center Taxonomy 261QM0850X

Record details

NPI number1962945709
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Liz Pawelko — Owner · (907) 456-2256
NPI enumeratedNovember 28, 2016
Last updated in NPPESDecember 11, 2017
Mailing address250 Cushman St Ste 5, Fairbanks, AK 99701-4665

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