Provider Demographics
NPI:1447032461
Name:AYALA-ESSLINGER, IVANA NATALIA (LMHC)
Entity type:Individual
Prefix:
First Name:IVANA
Middle Name:NATALIA
Last Name:AYALA-ESSLINGER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8776 SE MAY TER
Mailing Address - Street 2:
Mailing Address - City:HOBE SOUND
Mailing Address - State:FL
Mailing Address - Zip Code:33455-7221
Mailing Address - Country:US
Mailing Address - Phone:203-257-8858
Mailing Address - Fax:
Practice Address - Street 1:8776 SE MAY TER
Practice Address - Street 2:
Practice Address - City:HOBE SOUND
Practice Address - State:FL
Practice Address - Zip Code:33455-7221
Practice Address - Country:US
Practice Address - Phone:203-257-8858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH22887.101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health