Healthcare Provider Details

I. General information

NPI: 1184215915
Provider Name (Legal Business Name): ALIGNED JOURNEY THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2021
Last Update Date: 02/16/2021
Certification Date: 02/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2321 WILLIAMSBURG DR
LA PLACE LA
70068-2329
US

IV. Provider business mailing address

2321 WILLIAMSBURG DR
LA PLACE LA
70068-2329
US

V. Phone/Fax

Practice location:
  • Phone: 504-343-1289
  • Fax:
Mailing address:
  • Phone: 504-343-1289
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SEBRINA CURTIS-KHIDR
Title or Position: OWNER
Credential:
Phone: 504-343-1289