Provider Demographics
NPI:1750049300
Name:BENJAMIN SAINT-GERMAIN, YOLAINE
Entity Type:Individual
Prefix:
First Name:YOLAINE
Middle Name:
Last Name:BENJAMIN SAINT-GERMAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1923 SE 21ST CT
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33035-1235
Mailing Address - Country:US
Mailing Address - Phone:786-379-5253
Mailing Address - Fax:
Practice Address - Street 1:1923 SE 21ST CT
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33035-1235
Practice Address - Country:US
Practice Address - Phone:786-379-5253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-01
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14143101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health