Organization · Type 2 NPI

From the Desk of Dr. Yancey LLC

Mental Health Counselor · Suffolk, VA

NPI number 1619527645 Active

Practice location

4897 Bennetts Pasture Rd #5354
Suffolk, VA 23435-2689

Call (888) 663-2475 Map

Fax (888) 663-2475

Mailing address

PO Box 5354
Suffolk, VA 23435-0354

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed

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About NPI 1619527645

From the Desk of Dr. Yancey LLC's National Provider Identifier is 1619527645, issued on Sep 11, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Suffolk, VA. The record was last updated on Mar 14, 2024.