Provider Demographics
NPI:1114778263
Name:YATES, TALESHALA (MSW)
Entity Type:Individual
Prefix:
First Name:TALESHALA
Middle Name:
Last Name:YATES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 N FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-2124
Mailing Address - Country:US
Mailing Address - Phone:717-333-2140
Mailing Address - Fax:
Practice Address - Street 1:8 N QUEEN ST FL 10
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-3878
Practice Address - Country:US
Practice Address - Phone:717-297-0515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker