Ayala, Julie Ann

Ayala, Julie Ann is an sole proprietor health care provider with primary practice located at 4880 Edgewood Ln , Beaumont TX 77706-7767. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ayala, Julie Ann can be contacted via phone (409) 893-1377.

Contact Information

Primary practice address
4880 Edgewood Ln Beaumont TX 77706-7767
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 15512 Texas

Profile Details

NPI number 1801064811
LBN Legal business name Ayala, Julie Ann
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2008
Last updated Feb 12th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801064811 NPPES
Texas MEDICAID 028574401

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