Provider Demographics
NPI:1376606095
Name:CURTIS, YVETTE DAWNA (LCSW)
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:DAWNA
Last Name:CURTIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 S UNION PARK AVE
Mailing Address - Street 2:STE 201
Mailing Address - City:MIDVALE
Mailing Address - State:UT
Mailing Address - Zip Code:84047-6706
Mailing Address - Country:US
Mailing Address - Phone:385-298-6614
Mailing Address - Fax:
Practice Address - Street 1:1172 E 100 N STE 8
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:UT
Practice Address - Zip Code:84651-1691
Practice Address - Country:US
Practice Address - Phone:801-380-9305
Practice Address - Fax:801-609-9302
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10973478-35011041C0700X
NJ44SL054065001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical