MEDICARE: HEART ALIGNMENT THERAPY, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1366374837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART ALIGNMENT THERAPY, PLLC

Provider Business Mailing Address
First Line	:	2500 EMBLEM CIR UNIT 205
Second Line	:
City	:	OSWEGO
State	:	IL
Zip	:	60543-5414
Country	:	US
Telephone Number	:	312-216-9575
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 EMBLEM CIR UNIT 205
Second Line	:
City	:	OSWEGO
State	:	IL
Zip	:	60543-5414
Country	:	US
Telephone Number	:	312-216-9575
Fax Number	:

Authorized Official
Title or Position	:	LCPC
Name	:	CHRISTINA JONES
Credential	:	LCPC
Telephone Number	:	312-216-9575

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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