Healthcare Provider Details

I. General information

NPI: 1336918044
Provider Name (Legal Business Name): AERIE HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2023
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 PLEASANT ST
CONCORD NH
03301-4004
US

IV. Provider business mailing address

PO BOX 2685
NORTH CONWAY NH
03860-2685
US

V. Phone/Fax

Practice location:
  • Phone: 603-986-3356
  • Fax:
Mailing address:
  • Phone: 603-451-2371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MIKLOS OYLER
Title or Position: FOUNDER/CO-CEO
Credential:
Phone: 603-986-3356