Healthcare Provider Details

I. General information

NPI: 1699691303
Provider Name (Legal Business Name): ALIGNMENT MENTAL HEALTH COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 THEODORE FREMD AVENUE SUITE 206, PMB 16944831
RYE NY
10580
US

IV. Provider business mailing address

411 THEODORE FREMD AVENUE SUITE 206, PMB 16944831
RYE NY
10580
US

V. Phone/Fax

Practice location:
  • Phone: 914-500-3543
  • Fax:
Mailing address:
  • Phone: 914-500-3543
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: AMANDA KAITLIN DOMO
Title or Position: LICENSED MENTAL HEALTH COUNSELOR
Credential: LMHC-D
Phone: 914-500-3543