| Doctor Name: | MS. KELLY MARIE AYALA |
| NPI Number: | 1043595325 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 66255 |
| Business Practice Address: | 2750 W Virginia Pkwy Ste. 108 Mckinney, TX - 750715084 |
| Business Phone Number: | 9725428144 |
| Business Fax Number: | |
| Mailing Address: | 3331 Brockway Dr, FARMERS BRANCH |
| State: | TX |
| Postal Code: | 752345106 |
| Phone Number: | 3188405786 |
| Fax Number: | |
| NPI Enumeration Date: | 10/18/2011 |
| NPI Last Update Date: | 10/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 66255 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |