Provider Demographics
NPI:1184215915
Name:ALIGNED JOURNEY THERAPY
Entity Type:Organization
Organization Name:ALIGNED JOURNEY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SEBRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CURTIS-KHIDR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-343-1289
Mailing Address - Street 1:2321 WILLIAMSBURG DR
Mailing Address - Street 2:
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-2329
Mailing Address - Country:US
Mailing Address - Phone:504-343-1289
Mailing Address - Fax:
Practice Address - Street 1:2321 WILLIAMSBURG DR
Practice Address - Street 2:
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-2329
Practice Address - Country:US
Practice Address - Phone:504-343-1289
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-03
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0279261Medicaid