Autumn Jewel Ayala, BHS, DP-C

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Essexville, MI

NPI 1467969337 · NPPES record last updated Jan 2, 2018

Key facts

NPI
1467969337
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
863 N Pine Rd Ste a
Essexville, MI 48732-2159
Phone
(989) 928-3566
Fax
(989) 391-9596
NPI assigned
Jan 2, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Pathways, LLC Past
since Sep 5, 2018
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

863 N Pine Rd Ste a
Essexville, MI 48732-2159

Mailing address

863 N Pine Rd Ste a
Essexville, MI 48732-2159

Other providers in Essexville, MI

All providers in Essexville, MI · Addiction (Substance Use Disorder) Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.