NPI Code Details Logo

NPI 1689585341

NPI 1689585341 : AURELIO AYUSO LCSW LLC : VERO BEACH, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1689585341
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    AURELIO AYUSO LCSW LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/14/2026
-----------------------------------------------------
    Last Update Date     |    09/14/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1925 20TH ST 
-----------------------------------------------------
    City                 |    VERO BEACH
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32960-3571
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    321-288-6863
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    885 GREENLEAF CIR 
-----------------------------------------------------
    City                 |    VERO BEACH
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32960-3215
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    321-288-6863
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MANAGING MEMBER
-----------------------------------------------------
    Name                 |     AURELIO  AYUSO 
-----------------------------------------------------
    Credential           |    LCSW
-----------------------------------------------------
    Telephone            |    321-288-6863
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.