Healthcare Provider Details

I. General information

NPI: 1760150874
Provider Name (Legal Business Name): ALIGNMENT MENTAL HEALTH EMPOWERMENT CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2021
Last Update Date: 09/06/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 MONTICELLO AVE STE 1802
NORFOLK VA
23510-2670
US

IV. Provider business mailing address

440 MONTICELLO AVE STE 1802
NORFOLK VA
23510-2670
US

V. Phone/Fax

Practice location:
  • Phone: 678-524-8292
  • Fax:
Mailing address:
  • Phone: 678-524-8292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SALEMA COAXUM
Title or Position: DR. /PSYCHIATRIC NURSE PRACTITIONER
Credential: DNP, APRN
Phone: 678-524-8292