Erica Tamika Ayala, LPC
Individual provider Active NPI Mental Health Counselor · Queen Creek, AZ
NPI 1831793702 · NPPES record last updated Nov 22, 2020
Key facts
- NPI
- 1831793702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LPC-19410 (AZ)
- Practice address
- 22745 E Munoz St
Queen Creek, AZ 85142-9088 - Phone
- (480) 766-8462
- NPI assigned
- Nov 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-19410 | AZ | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-19410 | AZ | Yes |
Addresses
Primary practice location
22745 E Munoz St
Queen Creek, AZ 85142-9088
Mailing address
22745 E Munoz St
Queen Creek, AZ 85142-9088
Phone (480) 766-8462
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- Sade Omotunde Ayodele
- Chatur J Babaria
- Anna Marie Bachmeier
- Desiree Baenen
- Kelly Marie Bailey
All providers in Queen Creek, AZ · Mental Health Counselor in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.