Basic Information
| Provider Information | |||||||||
| NPI: | 1487248480 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ALIGNED BEHAVIORAL WELLNESS PLLC | ||||||||
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| Address1: | 3755 N OTTAWA AVE | ||||||||
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| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606343101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3122592619 | ||||||||
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| Practice Location | |||||||||
| Address1: | 180 N. LASALLE ST | ||||||||
| Address2: | STE 1822 | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3122592619 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/22/2021 | ||||||||
| LastUpdateDate: | 05/25/2021 | ||||||||
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| AuthorizedOfficialLastName: | PARTIPILO | ||||||||
| AuthorizedOfficialFirstName: | HEATHER | ||||||||
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| AuthorizedOfficialTitleorPosition: | CLINICAL THERAPIST | ||||||||
| AuthorizedOfficialTelephone: | 3122592619 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | LMFT | ||||||||
| NPICertificationDate: | 05/25/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.