Provider Demographics
NPI:1598882482
Name:DANIEL YEAGER
Entity Type:Organization
Organization Name:DANIEL YEAGER
Other - Org Name:THE YEAGER CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:YEAGER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:337-993-7927
Mailing Address - Street 1:217 W BRENTWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-6110
Mailing Address - Country:US
Mailing Address - Phone:337-993-7927
Mailing Address - Fax:337-993-7929
Practice Address - Street 1:217 W BRENTWOOD BLVD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-6110
Practice Address - Country:US
Practice Address - Phone:337-993-7927
Practice Address - Fax:337-993-7929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty