Provider Demographics
NPI:1063173508
Name:ALIGNED SYNERGY MENTAL HEALTH SERVICES
Entity type:Organization
Organization Name:ALIGNED SYNERGY MENTAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN, CNP
Authorized Official - Prefix:DR
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:MBONE
Authorized Official - Last Name:OTTOSON
Authorized Official - Suffix:
Authorized Official - Credentials:DNP,
Authorized Official - Phone:651-336-2837
Mailing Address - Street 1:8705 DOUGLAS DR N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55445-3232
Mailing Address - Country:US
Mailing Address - Phone:651-336-2837
Mailing Address - Fax:763-207-1941
Practice Address - Street 1:8705 DOUGLAS DR N
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55445-3232
Practice Address - Country:US
Practice Address - Phone:651-336-2837
Practice Address - Fax:240-556-0535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-06
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)