Healthcare Provider Details

I. General information

NPI: 1104711498
Provider Name (Legal Business Name): ALIGN YOUR MIND COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

809 APPLE BLOSSOM DR
LA MARQUE TX
77568-2327
US

IV. Provider business mailing address

563 W BAY AREA BLVD # 111
WEBSTER TX
77598-4100
US

V. Phone/Fax

Practice location:
  • Phone: 254-421-5651
  • Fax:
Mailing address:
  • Phone: 409-761-1145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. KAYLEIGH ANDERSON
Title or Position: OWNER
Credential: PH.D., LPC-S, NCC
Phone: 409-761-1145