Provider Demographics
NPI:1891463840
Name:YETMAN COUNSELING PLLC
Entity Type:Organization
Organization Name:YETMAN COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:YETMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-607-0934
Mailing Address - Street 1:1204 THE PLZ STE 4
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-5078
Mailing Address - Country:US
Mailing Address - Phone:980-272-7968
Mailing Address - Fax:
Practice Address - Street 1:1204 THE PLZ STE 4
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-5078
Practice Address - Country:US
Practice Address - Phone:980-272-7968
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-03
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty