Healthcare Provider Details

I. General information

NPI: 1336862465
Provider Name (Legal Business Name): ALIGNED COUNSELING & WELLNESS SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2022
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

538 MAIN ST STE 309
COSHOCTON OH
43812-1612
US

IV. Provider business mailing address

1136 ORCHARD ST
COSHOCTON OH
43812-1743
US

V. Phone/Fax

Practice location:
  • Phone: 740-202-9754
  • Fax: 740-870-2541
Mailing address:
  • Phone: 740-202-9754
  • Fax: 740-870-2541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANGELA MARIE KIRKER
Title or Position: OWNER, THERAPIST
Credential: LISW-S, LICDC-CS
Phone: 740-202-9754