Provider Demographics
NPI:1225791890
Name:ARIAS, YVONNE CASAS
Entity Type:Individual
Prefix:MS
First Name:YVONNE
Middle Name:CASAS
Last Name:ARIAS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:YVONNE
Other - Middle Name:
Other - Last Name:CASAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9291 SW 22ND TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-8156
Mailing Address - Country:US
Mailing Address - Phone:786-797-2140
Mailing Address - Fax:
Practice Address - Street 1:9291 SW 22ND TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-8156
Practice Address - Country:US
Practice Address - Phone:786-797-2140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-20
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist