MEDICARE: LEA AYER COUNSELING, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1134705981
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEA AYER COUNSELING, INC

Provider Business Mailing Address
First Line	:	673 CHAMA LN
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81505-1051
Country	:	US
Telephone Number	:	970-208-5143
Fax Number	:

Provider Business Practice Location Address
First Line	:	2764 COMPASS DR STE 106
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81506-8755
Country	:	US
Telephone Number	:	970-208-5143
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LEA AYER
Credential	:	LPC
Telephone Number	:	970-208-5143

Provider Enumeration Date	:	03/22/2021
Last Update Date	:	04/24/2026

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