Provider Demographics
NPI:1659873818
Name:CORONADO MERCER, YVETTE (LMFT)
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:
Last Name:CORONADO MERCER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:YVETTE
Other - Middle Name:
Other - Last Name:CORONADO-MERCER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:3700 GARDEN RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-1234
Mailing Address - Country:US
Mailing Address - Phone:804-310-4618
Mailing Address - Fax:
Practice Address - Street 1:3700 GARDEN RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-1234
Practice Address - Country:US
Practice Address - Phone:804-310-4618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-05
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0717001477106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist