Provider Demographics
NPI:1568173524
Name:YATES PSYCHOTHERAPY LCSW PLLC
Entity Type:Organization
Organization Name:YATES PSYCHOTHERAPY LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:V
Authorized Official - Last Name:YATES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R
Authorized Official - Phone:914-563-5398
Mailing Address - Street 1:16 SALISBURY RD
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-3910
Mailing Address - Country:US
Mailing Address - Phone:914-563-5398
Mailing Address - Fax:914-346-8595
Practice Address - Street 1:731 SAW MILL RIVER RD STE 7
Practice Address - Street 2:
Practice Address - City:ARDSLEY
Practice Address - State:NY
Practice Address - Zip Code:10502-1814
Practice Address - Country:US
Practice Address - Phone:914-563-5398
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty