Provider Demographics
NPI:1346084779
Name:LIFE ALIGN COUNSELING AND COACHING
Entity type:Organization
Organization Name:LIFE ALIGN COUNSELING AND COACHING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUNAURA
Authorized Official - Middle Name:SKYE
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:541-326-7495
Mailing Address - Street 1:303 W 1ST ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:OR
Mailing Address - Zip Code:97535-7700
Mailing Address - Country:US
Mailing Address - Phone:541-625-3138
Mailing Address - Fax:458-658-5550
Practice Address - Street 1:51 WATER ST STE 210
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1841
Practice Address - Country:US
Practice Address - Phone:541-326-7495
Practice Address - Fax:458-658-5550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health