Provider Demographics
NPI:1295576494
Name:ALIGN MIND AND BODY, LLC
Entity type:Organization
Organization Name:ALIGN MIND AND BODY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUZETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON-POLLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:412-779-0037
Mailing Address - Street 1:16A BEL AIR SOUTH PKWY STE 323
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-6038
Mailing Address - Country:US
Mailing Address - Phone:412-779-0037
Mailing Address - Fax:
Practice Address - Street 1:16A BEL AIR SOUTH PKWY STE 323
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-6038
Practice Address - Country:US
Practice Address - Phone:412-779-0037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty