MARLY AYALA-ICAZA MH14786 NPI 1821412230

NPI Information

NPI: 1821412230
Provider Name: MARLY AYALA-ICAZA, MH14786
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3500 EL CONQUISTADOR PKWY APT 259
APT 259
BRADENTON, FL
ZIP 34210
Phone: (954) 806-3698
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Marly Ayala-icaza, MH14786 is a mental health counselor in Bradenton, FL. Marly Ayala-icaza, MH14786 NPI is 1821412230. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3500 EL CONQUISTADOR PKWY APT 259
APT 259
BRADENTON, FL
ZIP 34210-819
Phone: (954) 806-3698

The enumeration date for this NPI number is 2/6/2014 and was last updated on 2/5/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	IMH2387	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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