Healthcare Provider Details
I. General information
NPI: 1730720715
Provider Name (Legal Business Name): ALIGN PSYCHOTHERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/01/2019
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
141 PROVIDENCE RD STE 130
CHAPEL HILL NC
27514-6200
US
IV. Provider business mailing address
141 PROVIDENCE RD STE 130
CHAPEL HILL NC
27514-6200
US
V. Phone/Fax
- Phone: 919-260-5841
- Fax:
- Phone: 919-260-5841
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DANIELLE
KELLY
Title or Position: FOUNDER & PSYCHOTHERAPIST
Credential: LCSW, LCAS
Phone: 919-260-5841