Provider Demographics
NPI:1114930443
Name:MITCHELL- MONEY, YAVONNE M (BS,BOCCP)
Entity Type:Individual
Prefix:MS
First Name:YAVONNE
Middle Name:M
Last Name:MITCHELL- MONEY
Suffix:
Gender:F
Credentials:BS,BOCCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 E JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48226-4324
Mailing Address - Country:US
Mailing Address - Phone:313-965-7884
Mailing Address - Fax:313-965-7885
Practice Address - Street 1:525 E JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48226-4324
Practice Address - Country:US
Practice Address - Phone:313-965-7884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCC22289174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist