Provider Demographics
NPI:1740159508
Name:ALIGNED LIVING PSYCOLOGICAL SERVICES
Entity type:Organization
Organization Name:ALIGNED LIVING PSYCOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHICHESTER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:908-887-4898
Mailing Address - Street 1:104 W ENTERPRISE ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-1818
Mailing Address - Country:US
Mailing Address - Phone:908-887-4989
Mailing Address - Fax:
Practice Address - Street 1:104 W ENTERPRISE ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-1818
Practice Address - Country:US
Practice Address - Phone:908-887-4989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-31
Last Update Date:2025-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty