MEDICARE: AERIE HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
3	261QM0855X	Adolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number	:	1336918044
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AERIE HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	PO BOX 2685
Second Line	:
City	:	NORTH CONWAY
State	:	NH
Zip	:	03860-2685
Country	:	US
Telephone Number	:	603-451-2371
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 PLEASANT ST
Second Line	:
City	:	CONCORD
State	:	NH
Zip	:	03301-4004
Country	:	US
Telephone Number	:	603-986-3356
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER/CO-CEO
Name	:	MIKLOS OYLER
Credential	:
Telephone Number	:	603-986-3356

Provider Enumeration Date	:	12/21/2023
Last Update Date	:	12/01/2025

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Directions to “AERIE HEALTHCARE LLC ” Practice Location

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