Provider Demographics
NPI:1083394183
Name:FAYE E. YOUKER, PLLC
Entity Type:Organization
Organization Name:FAYE E. YOUKER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORK
Authorized Official - Prefix:MRS
Authorized Official - First Name:FAYE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:YOUKER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:231-620-1168
Mailing Address - Street 1:4020 COPPER VW STE 115
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-7041
Mailing Address - Country:US
Mailing Address - Phone:231-620-1168
Mailing Address - Fax:
Practice Address - Street 1:4020 COPPER VW STE 115
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-7041
Practice Address - Country:US
Practice Address - Phone:231-620-1168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty