Provider Demographics
NPI:1245938745
Name:AIRE COUNSELING & CONSULTING SERVICES LLC
Entity type:Organization
Organization Name:AIRE COUNSELING & CONSULTING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AYESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOGER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:334-790-6924
Mailing Address - Street 1:312 GWINNETT PL
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-4933
Mailing Address - Country:US
Mailing Address - Phone:334-790-6924
Mailing Address - Fax:
Practice Address - Street 1:2558 ROSS CLARK CIR STE 113
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-4970
Practice Address - Country:US
Practice Address - Phone:334-575-3009
Practice Address - Fax:334-829-5429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-23
Last Update Date:2024-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty