Provider Demographics
NPI:1376218545
Name:ALIGN COUNSELING SERVICES PLLC
Entity Type:Organization
Organization Name:ALIGN COUNSELING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIRLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:208-932-3916
Mailing Address - Street 1:3315 E. CHASEWOOD DR.
Mailing Address - Street 2:
Mailing Address - City:AMMON
Mailing Address - State:ID
Mailing Address - Zip Code:83406-0000
Mailing Address - Country:US
Mailing Address - Phone:208-932-3916
Mailing Address - Fax:208-656-7348
Practice Address - Street 1:3315 E. CHASEWOOD DR.
Practice Address - Street 2:
Practice Address - City:AMMON
Practice Address - State:ID
Practice Address - Zip Code:83406-0000
Practice Address - Country:US
Practice Address - Phone:208-932-3916
Practice Address - Fax:208-656-7348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-10
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty