NPI Code Details Logo

NPI 1144129156

NPI 1144129156 : ALIGN LIVING, LLC : BALTIMORE, MD

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1144129156
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ALIGN LIVING, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/04/2026
-----------------------------------------------------
    Last Update Date     |    11/04/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4006 BOARMAN AVE UNIT A 
-----------------------------------------------------
    City                 |    BALTIMORE
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    21215-4935
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    443-525-1229
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4313 KATHLAND AVE 
-----------------------------------------------------
    City                 |    BALTIMORE
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    21207-7435
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    443-525-1229
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    FOUNDER
-----------------------------------------------------
    Name                 |     SHANITA  MCCORKLE 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    443-525-1229
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    175T00000X
-----------------------------------------------------
    Taxonomy Name        |    Peer Specialist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.