Provider Demographics
NPI:1023590734
Name:WHITMIRE, AYLA D (MS)
Entity type:Individual
Prefix:
First Name:AYLA
Middle Name:D
Last Name:WHITMIRE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:AYLA
Other - Middle Name:
Other - Last Name:OWENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:660 BABB RD
Mailing Address - Street 2:
Mailing Address - City:ROSMAN
Mailing Address - State:NC
Mailing Address - Zip Code:28772-9781
Mailing Address - Country:US
Mailing Address - Phone:828-553-7265
Mailing Address - Fax:
Practice Address - Street 1:153 PUBLIC SAFETY WAY
Practice Address - Street 2:
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712-6801
Practice Address - Country:US
Practice Address - Phone:828-577-7427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-30
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC24818101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)