| Michelle Ayres Llc | |
|
42 Wirth Ct Madison WI 53704-5145 | |
| (608) 556-8432 | |
| Not Available |
| Full Name | Michelle Ayres Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 42 Wirth Ct, Madison, Wisconsin |
| Authorized Official Name and Position | Michelle Ayres (THERAPIST AND OWNER) |
| Authorized Official Contact | 6085568432 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Ayres Llc 42 Wirth Ct Madison WI 53704-5145 Ph: (608) 556-8432 | Michelle Ayres Llc 42 Wirth Ct Madison WI 53704-5145 Ph: (608) 556-8432 |
| NPI Number | 1205505815 |
|---|---|
| Provider Enumeration Date | 09/08/2021 |
| Last Update Date | 09/08/2021 |
| Certification Date | 09/08/2021 |
| Medicare PECOS PAC ID | 1850737511 |
|---|---|
| Medicare Enrollment ID | O20240315003023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205505815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Michelle Melinda Ayres |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1851435929 PECOS PAC ID: 2769828425 Enrollment ID: I20240315003163 |
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