Provider Demographics
NPI:1043778756
Name:AYE WELLNESS, PLLC
Entity Type:Organization
Organization Name:AYE WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:L
Authorized Official - Last Name:THROWER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:480-900-7687
Mailing Address - Street 1:860 N MCQUEEN RD UNIT 1026
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-3998
Mailing Address - Country:US
Mailing Address - Phone:480-900-7687
Mailing Address - Fax:
Practice Address - Street 1:2406 S 24TH ST STE E100
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85034-6801
Practice Address - Country:US
Practice Address - Phone:480-900-7687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-12
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health