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

Lifeologist Wellness & Educational Consultant

Organization Clinical Social Worker · NPI 1063155422

Lifeologist Wellness & Educational Consultant provides Clinical Social Worker services in Fairbanks, Alaska. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

815 2nd Ave Ste 112
Fairbanks, AK 99701-4469
Phone: (907) 378-5009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1063155422
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yolanda Easaw-Favor — Owner · (907) 378-5009
NPI enumeratedApril 14, 2022
Last updated in NPPESApril 14, 2022
Certification dateApril 14, 2022
Mailing addressPo Box 58450, Fairbanks, AK 99711-0450

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