Provider Demographics
NPI:1477982403
Name:ARROYO, YAJAIRA VILLEDA (DSW, LCSW-S)
Entity Type:Individual
Prefix:
First Name:YAJAIRA
Middle Name:VILLEDA
Last Name:ARROYO
Suffix:
Gender:F
Credentials:DSW, LCSW-S
Other - Prefix:
Other - First Name:YAJAIRA
Other - Middle Name:
Other - Last Name:VILLEDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:5617 WEATHERFORD RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-2627
Mailing Address - Country:US
Mailing Address - Phone:432-438-1689
Mailing Address - Fax:214-645-3775
Practice Address - Street 1:2817 ROCK MERRITT AVE STOP A
Practice Address - Street 2:
Practice Address - City:FORT LIBERTY
Practice Address - State:NC
Practice Address - Zip Code:28310-7201
Practice Address - Country:US
Practice Address - Phone:910-643-2192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-12
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0098061041C0700X
TX551831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical