Ayala, Judith Liseth

Ayala, Judith Liseth is an individual health care provider with primary practice located at 1562 Union Rd Ste B , Gastonia NC 28054-2210. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Ayala, Judith Liseth can be contacted via phone (704) 201-1370.

Contact Information

Primary practice address
1562 Union Rd Ste B Gastonia NC 28054-2210
Phone: (704) 201-1370
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCAS-20973 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X A11438 North Carolina

Profile Details

NPI number 1255715801
LBN Legal business name Ayala, Judith Liseth
Credentials LPC, LCAS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2015
Last updated May 8th, 2019 - about 7 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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