Provider Demographics
NPI:1790418697
Name:MIND ALIGN HEALTH LLC
Entity type:Organization
Organization Name:MIND ALIGN HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:
Authorized Official - First Name:AYANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:347-522-1178
Mailing Address - Street 1:106 PRATT ST
Mailing Address - Street 2:
Mailing Address - City:FORT MONROE
Mailing Address - State:VA
Mailing Address - Zip Code:23651-1106
Mailing Address - Country:US
Mailing Address - Phone:347-522-1178
Mailing Address - Fax:
Practice Address - Street 1:106 PRATT ST
Practice Address - Street 2:
Practice Address - City:FORT MONROE
Practice Address - State:VA
Practice Address - Zip Code:23651-1106
Practice Address - Country:US
Practice Address - Phone:757-632-3278
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-07
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)