| Myriam Ayala Online Therapy | |
|
1000 Brickel Suite 715 Miami FL 33131 | |
| (786) 791-3080 | |
| (786) 590-1931 |
| Full Name | Myriam Ayala Online Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 1000 Brickel, Miami, Florida |
| Authorized Official Name and Position | Myriam Yadira Ayala (OWNER) |
| Authorized Official Contact | 9177342578 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Myriam Ayala Online Therapy 1000 Brickell Avenue-pmb 1431 Suite 715 Miami FL 33131 Ph: (786) 791-3080 | Myriam Ayala Online Therapy 1000 Brickel Suite 715 Miami FL 33131 Ph: (786) 791-3080 |
| NPI Number | 1336743145 |
|---|---|
| Provider Enumeration Date | 11/23/2020 |
| Last Update Date | 04/17/2024 |
| Certification Date | 02/26/2021 |
| Medicare PECOS PAC ID | 0244643971 |
|---|---|
| Medicare Enrollment ID | O20210119001473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336743145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Myriam Yadira Ayala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760907737 PECOS PAC ID: 1153734884 Enrollment ID: I20210119001702 |
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