Healthcare Provider Details

I. General information

NPI: 1396671145
Provider Name (Legal Business Name): ALIGNING LIFE CHANGES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3720 WILLOW RUN DR
TOLEDO OH
43607-2647
US

IV. Provider business mailing address

5533 SOUTHWYCK BLVD STE 101
TOLEDO OH
43614-1505
US

V. Phone/Fax

Practice location:
  • Phone: 419-540-8605
  • Fax:
Mailing address:
  • Phone: 419-540-8605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANTONIA M BALLARD
Title or Position: MANAGING MEMBER
Credential:
Phone: 567-225-0512