Provider Demographics
NPI:1700616091
Name:DANES, AYLA
Entity type:Individual
Prefix:
First Name:AYLA
Middle Name:
Last Name:DANES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 W MAIN ST STE 103
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-2461
Mailing Address - Country:US
Mailing Address - Phone:216-839-2273
Mailing Address - Fax:
Practice Address - Street 1:265 W MAIN ST STE 103
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-2461
Practice Address - Country:US
Practice Address - Phone:216-839-2273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-02
Last Update Date:2025-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health