Align Therapy Studios LLC
Counselor, Professional in New Haven, CT. Organization (NPI-2).
NPI number1275189896
StatusActive
Last updated in NPPESDec 30, 2019
Details
- NPI
- 1275189896
- Entity type
- Organization (NPI-2)
- Legal business name
- Align Therapy Studios LLC
- Organization subpart
- No
- Enumeration date
- Aug 11, 2019
- Certification date
- Dec 30, 2019
- Last updated
- Dec 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
869 Whalley AveNew Haven, CT 06515-1728
Phone 203-440-7633
Mailing address
2 Hillside StWest Haven, CT 06516-1024
Authorized official
Mariyah Delores Charlton
Co-Owner
2036410825
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