Provider Demographics
NPI:1275360448
Name:MINDS ALIGNED THERAPY, LLC
Entity type:Organization
Organization Name:MINDS ALIGNED THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:LANG
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:443-243-1775
Mailing Address - Street 1:1815 LOCH SHIEL RD
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-8917
Mailing Address - Country:US
Mailing Address - Phone:443-243-1775
Mailing Address - Fax:
Practice Address - Street 1:1815 LOCH SHIEL RD
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-8917
Practice Address - Country:US
Practice Address - Phone:443-243-1775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health