Doctor Name: | MS. HOLLY EVE YATES |
NPI Number: | 1003912262 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 4745 |
Business Practice Address: | 7633 Mine Valley Rd Raleigh, NC - 276156017 |
Business Phone Number: | 9199313270 |
Business Fax Number: | 9197818660 |
Mailing Address: | 4008 Barrett Dr, 106 RALEIGH |
State: | NC |
Postal Code: | 276096621 |
Phone Number: | 9199313270 |
Fax Number: | 9197812660 |
NPI Enumeration Date: | 09/15/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4745 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |