Provider Demographics
NPI:1427029271
Name:YAPLE, TODD (LMSW)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:
Last Name:YAPLE
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12659 HOPKINS FOREST DR
Mailing Address - Street 2:
Mailing Address - City:BEAR LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:49614-9510
Mailing Address - Country:US
Mailing Address - Phone:231-864-2974
Mailing Address - Fax:
Practice Address - Street 1:395 3RD ST
Practice Address - Street 2:
Practice Address - City:MANISTEE
Practice Address - State:MI
Practice Address - Zip Code:49660-1718
Practice Address - Country:US
Practice Address - Phone:231-309-1817
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801020056101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MITY0200565Other3RD PARTY IDENTIFIER
MI6801020056OtherSTATE LICENSE NUMBER
MI6301001444OtherSTATE LLP LICENSE
MI6801020056OtherSTATE LICENSE NUMBER