Provider Demographics
NPI:1548861966
Name:AYLA, NAOMI BETH (LISW)
Entity type:Individual
Prefix:
First Name:NAOMI
Middle Name:BETH
Last Name:AYLA
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:NAOMI
Other - Middle Name:BETH
Other - Last Name:HOLLOWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:6140 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-3821
Mailing Address - Country:US
Mailing Address - Phone:440-233-7232
Mailing Address - Fax:440-282-4779
Practice Address - Street 1:6140 S BROADWAY
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-3821
Practice Address - Country:US
Practice Address - Phone:440-233-7232
Practice Address - Fax:440-989-4779
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-03
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.25061951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical