Provider Demographics
NPI:1376321869
Name:ALIGN COUNSELING LLC
Entity Type:Organization
Organization Name:ALIGN COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BETHANY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:VANDERSLUIS-JOHNSTON
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:616-320-1262
Mailing Address - Street 1:401 HALL ST SW # 185G
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-5098
Mailing Address - Country:US
Mailing Address - Phone:616-320-1262
Mailing Address - Fax:
Practice Address - Street 1:401 HALL ST SW # 185G
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49503-5098
Practice Address - Country:US
Practice Address - Phone:616-320-1262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty