Provider Demographics
NPI:1497569941
Name:AUTHENTICALLY ALIGNED LIVING LLC
Entity type:Organization
Organization Name:AUTHENTICALLY ALIGNED LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDREA
Authorized Official - Middle Name:LASHAY
Authorized Official - Last Name:HALL LAWTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-629-0419
Mailing Address - Street 1:123 BRICKINGHAM WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-8782
Mailing Address - Country:US
Mailing Address - Phone:803-629-0419
Mailing Address - Fax:
Practice Address - Street 1:362 PINELAND RD.
Practice Address - Street 2:
Practice Address - City:VANCE
Practice Address - State:SC
Practice Address - Zip Code:29163
Practice Address - Country:US
Practice Address - Phone:803-542-9665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health