Healthcare Provider Details

I. General information

NPI: 1205755527
Provider Name (Legal Business Name): ALIGN PSYCHIATRY AND BEHAVIORAL MEDICINE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2524 N BROADWAY
EDMOND OK
73034-4172
US

IV. Provider business mailing address

2524 N BROADWAY # 623
EDMOND OK
73034-4172
US

V. Phone/Fax

Practice location:
  • Phone: 405-851-4893
  • Fax:
Mailing address:
  • Phone: 405-851-4893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA LAUREN FORD
Title or Position: MANAGING MEMBER
Credential: PA-C
Phone: 405-851-4893