Healthcare Provider Details

I. General information

NPI: 1255262499
Provider Name (Legal Business Name): ALIGNED BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 W CLAIREMONT AVE
EAU CLAIRE WI
54701-4503
US

IV. Provider business mailing address

616 TRUAX BLVD
EAU CLAIRE WI
54703-1560
US

V. Phone/Fax

Practice location:
  • Phone: 715-456-4158
  • Fax:
Mailing address:
  • Phone: 715-456-4158
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. KOREN MICKELSON
Title or Position: OWNER
Credential:
Phone: 715-456-4158