Provider Demographics
NPI:1437922218
Name:AYLA O'MARA, MA, LLC
Entity type:Organization
Organization Name:AYLA O'MARA, MA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:O'MARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-777-8081
Mailing Address - Street 1:440 QUARRY HILL RD UNIT 267
Mailing Address - Street 2:
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-6666
Mailing Address - Country:US
Mailing Address - Phone:802-777-8081
Mailing Address - Fax:
Practice Address - Street 1:440 QUARRY HILL RD UNIT 267
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-6666
Practice Address - Country:US
Practice Address - Phone:802-777-8081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty