Provider Demographics
NPI:1871214411
Name:REALIGN MENTAL HEALTH SERVICES, PLC
Entity type:Organization
Organization Name:REALIGN MENTAL HEALTH SERVICES, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BILLIE
Authorized Official - Middle Name:JOEL
Authorized Official - Last Name:RAEL
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP, PMHNP
Authorized Official - Phone:319-939-6099
Mailing Address - Street 1:PO BOX 3
Mailing Address - Street 2:
Mailing Address - City:OELWEIN
Mailing Address - State:IA
Mailing Address - Zip Code:50662-0003
Mailing Address - Country:US
Mailing Address - Phone:319-939-6099
Mailing Address - Fax:
Practice Address - Street 1:506 8TH ST SW
Practice Address - Street 2:
Practice Address - City:OELWEIN
Practice Address - State:IA
Practice Address - Zip Code:50662-2927
Practice Address - Country:US
Practice Address - Phone:319-939-6099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty