MEDICARE: ALIGNED MIND COUNSELING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist
2	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1285403360
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALIGNED MIND COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	3619 BROADWAY STE 10
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-6509
Country	:	US
Telephone Number	:	210-201-2842
Fax Number	:

Provider Business Practice Location Address
First Line	:	5631 BROADWAY
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-5719
Country	:	US
Telephone Number	:	210-201-2842
Fax Number	:

Authorized Official
Title or Position	:	FOUNDING DIRECTOR & THERAPIST
Name	:	LEO M SCALETTA
Credential	:	LMFT
Telephone Number	:	210-584-0414

Provider Enumeration Date	:	12/29/2023
Last Update Date	:	01/08/2025

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