Provider Demographics
NPI:1174006845
Name:MAYES, AISLINN RAYNE (MA, NCC, LPCA)
Entity Type:Individual
Prefix:
First Name:AISLINN
Middle Name:RAYNE
Last Name:MAYES
Suffix:
Gender:F
Credentials:MA, NCC, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 NORTHEAST DR STE 1
Mailing Address - Street 2:
Mailing Address - City:DAVIDSON
Mailing Address - State:NC
Mailing Address - Zip Code:28036-7423
Mailing Address - Country:US
Mailing Address - Phone:704-251-9335
Mailing Address - Fax:
Practice Address - Street 1:706 NORTHEAST DR STE 1
Practice Address - Street 2:
Practice Address - City:DAVIDSON
Practice Address - State:NC
Practice Address - Zip Code:28036-7423
Practice Address - Country:US
Practice Address - Phone:704-251-9335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14155101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty