Healthcare Provider Details

I. General information

NPI: 1891378949
Provider Name (Legal Business Name): ALIGN HEALTHCARE SERVICES, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2021
Last Update Date: 05/05/2021
Certification Date: 05/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39455 LEGACY LAKE DR
GONZALES LA
70737-6647
US

IV. Provider business mailing address

39455 LEGACY LAKE DR
GONZALES LA
70737-6647
US

V. Phone/Fax

Practice location:
  • Phone: 504-296-4486
  • Fax:
Mailing address:
  • Phone: 504-296-4486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHSHELL MARIE SMITH
Title or Position: OWNER/NURSE PRACTITIONER
Credential: DNP, WHNP-BC
Phone: 504-296-4486