| Aya Life Therapy Pllc | |
|
1280 Iroquois Ave Ste 102a Naperville IL 60563-8559 | |
| (331) 230-0338 | |
| Not Available |
| Full Name | Aya Life Therapy Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1280 Iroquois Ave Ste 102a, Naperville, Illinois |
| Authorized Official Name and Position | Latreasa Denise Blackmon (OWNER/CLINICAL THERAPIST) |
| Authorized Official Contact | 2697672980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aya Life Therapy Pllc 1280 Iroquois Ave Ste 102a Naperville IL 60563-8559 Ph: (331) 230-0338 | Aya Life Therapy Pllc 1280 Iroquois Ave Ste 102a Naperville IL 60563-8559 Ph: (331) 230-0338 |
| NPI Number | 1255226916 |
|---|---|
| Provider Enumeration Date | 06/11/2025 |
| Last Update Date | 06/11/2025 |
| Certification Date | 06/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255226916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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