Individual provider · Type 1 NPI

Abraham Tirado Ayala, CBHCM

Addiction (Substance Use Disorder) Counselor · Winter Haven, FL

NPI number 1679146997 Active

Practice location

1604 17th Ter NE
Winter Haven, FL 33881-4416

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Case Manager/Care Coordinator 171M00000XCBHCM103930 (FL)

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About NPI 1679146997

Abraham Tirado Ayala, CBHCM's National Provider Identifier is 1679146997, issued on Jul 23, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Winter Haven, FL. The record was last updated on Sep 16, 2025.