Provider Demographics
NPI:1437350485
Name:YATES, REGYNA ELAYNE (MA, MS, BS)
Entity Type:Individual
Prefix:MS
First Name:REGYNA
Middle Name:ELAYNE
Last Name:YATES
Suffix:
Gender:F
Credentials:MA, MS, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5160 RICE RD
Mailing Address - Street 2:#71
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-2052
Mailing Address - Country:US
Mailing Address - Phone:615-499-2943
Mailing Address - Fax:
Practice Address - Street 1:5160 RICE RD
Practice Address - Street 2:#71
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-2052
Practice Address - Country:US
Practice Address - Phone:615-499-2943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health