Organization
ALIGN THERAPY STUDIOS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIYAH DELORES CHARLTON LPC (CO-OWNER)
(203) 641-0825
Entity
Organization
Contact information
Practice address
869 WHALLEY AVE, NEW HAVEN, CT 06515-1728
(203) 440-7633
Mailing address
2 HILLSIDE ST, WEST HAVEN, CT 06516-1024
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/11/2019
Last updated
12/30/2019
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