Provider Demographics
NPI:1023541596
Name:YVETTE MENESES, LCSW
Entity Type:Organization
Organization Name:YVETTE MENESES, LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:YVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MENESES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:323-459-6744
Mailing Address - Street 1:6444 E SPRING ST
Mailing Address - Street 2:SUITE #314
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-1553
Mailing Address - Country:US
Mailing Address - Phone:323-459-6744
Mailing Address - Fax:
Practice Address - Street 1:215 W POMONA BLVD
Practice Address - Street 2:SUITE #210
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-7146
Practice Address - Country:US
Practice Address - Phone:323-459-6744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-11
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health