MEDICARE: CHEYENNE NICOLE AILIFF

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	118466	IA

General Provider Information

NPI Number	:	1437014107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHEYENNE NICOLE AILIFF

Provider Business Mailing Address
First Line	:	111 W 15TH ST
Second Line	:
City	:	DAVENPORT
State	:	IA
Zip	:	52803-4609
Country	:	US
Telephone Number	:	563-322-7419
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 W 15TH ST
Second Line	:
City	:	DAVENPORT
State	:	IA
Zip	:	52803-4609
Country	:	US
Telephone Number	:	563-322-7419
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

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Directions to “ CHEYENNE NICOLE AILIFF ” Practice Location

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