Provider Demographics
NPI:1427605971
Name:AYA & HOUZE ENTERPRISES
Entity Type:Organization
Organization Name:AYA & HOUZE ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KALYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-759-0707
Mailing Address - Street 1:2602 QUEEN ANNE CT
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30350-6300
Mailing Address - Country:US
Mailing Address - Phone:404-759-0707
Mailing Address - Fax:
Practice Address - Street 1:2602 QUEEN ANNE CT
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30350-6300
Practice Address - Country:US
Practice Address - Phone:404-759-0707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-20
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management