Provider Demographics
NPI:1881286094
Name:ALIGN THERAPY AND WELLNESS
Entity type:Organization
Organization Name:ALIGN THERAPY AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LMFT
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMARRE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:475-221-5001
Mailing Address - Street 1:124 WASHINGTON ST STE 202
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-2820
Mailing Address - Country:US
Mailing Address - Phone:475-221-5001
Mailing Address - Fax:
Practice Address - Street 1:124 WASHINGTON ST STE 202
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-2820
Practice Address - Country:US
Practice Address - Phone:475-221-5001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)