Provider Demographics
NPI:1154138055
Name:AYNI HEART FIRE
Entity type:Organization
Organization Name:AYNI HEART FIRE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASTE-NIETO
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:512-277-9015
Mailing Address - Street 1:2358 UNIVERSITY AVE # 373
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92104-2720
Mailing Address - Country:US
Mailing Address - Phone:512-277-9015
Mailing Address - Fax:
Practice Address - Street 1:630 DRESHER ROAD
Practice Address - Street 2:
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044
Practice Address - Country:US
Practice Address - Phone:512-277-9015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)