MEDICARE: ALIGNING LIFE CHANGES LLC

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1396671145
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALIGNING LIFE CHANGES LLC

Provider Business Mailing Address
First Line	:	5834 MONROE ST STE A
Second Line	:
City	:	SYLVANIA
State	:	OH
Zip	:	43560-2265
Country	:	US
Telephone Number	:	419-540-8605
Fax Number	:

Provider Business Practice Location Address
First Line	:	3720 WILLOW RUN DR
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43607-2647
Country	:	US
Telephone Number	:	419-540-8605
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	ANTONIA M BALLARD
Credential	:
Telephone Number	:	567-225-0512

Provider Enumeration Date	:	06/19/2026
Last Update Date	:	06/19/2026

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Directions to “ALIGNING LIFE CHANGES LLC ” Practice Location

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