Provider Demographics
NPI:1336324706
Name:YEOMANS, ANNE EASTMAN (LMHC)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:EASTMAN
Last Name:YEOMANS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 WILSON HILL RD
Mailing Address - Street 2:
Mailing Address - City:COLRAIN
Mailing Address - State:MA
Mailing Address - Zip Code:01340-9614
Mailing Address - Country:US
Mailing Address - Phone:413-624-3793
Mailing Address - Fax:
Practice Address - Street 1:23 WILSON HILL RD
Practice Address - Street 2:
Practice Address - City:COLRAIN
Practice Address - State:MA
Practice Address - Zip Code:01340-9614
Practice Address - Country:US
Practice Address - Phone:413-624-3793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-04
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMHC1335101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health