Provider Demographics
NPI:1619734233
Name:ALIGN NORTH LLC
Entity Type:Organization
Organization Name:ALIGN NORTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:ELMBERG
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:218-248-2303
Mailing Address - Street 1:325 CHESTNUT ST STE 504
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA
Mailing Address - State:MN
Mailing Address - Zip Code:55792-2523
Mailing Address - Country:US
Mailing Address - Phone:218-248-2303
Mailing Address - Fax:218-423-5030
Practice Address - Street 1:325 CHESTNUT ST STE 504
Practice Address - Street 2:
Practice Address - City:VIRGINIA
Practice Address - State:MN
Practice Address - Zip Code:55792-2523
Practice Address - Country:US
Practice Address - Phone:218-248-2303
Practice Address - Fax:218-423-5030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty