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 is a Professional Counselor 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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