Healthcare Provider Details

I. General information

NPI: 1396545547
Provider Name (Legal Business Name): HEAD & HEART ALIGN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2025
Last Update Date: 05/31/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7965 N HIGH ST SUITE 350 PMB1022
COLUMBUS OH
43235
US

IV. Provider business mailing address

7965 N HIGH ST SUITE 350 PMB1022
COLUMBUS OH
43235
US

V. Phone/Fax

Practice location:
  • Phone: 800-985-9713
  • Fax: 800-985-9713
Mailing address:
  • Phone: 800-985-9713
  • Fax: 800-985-9713

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. JESSICA GREEN-BURNS
Title or Position: OWNER
Credential: PMHNP
Phone: 800-985-9713