Provider Demographics
NPI:1891483921
Name:YOPP, LAMIA K (LADC)
Entity Type:Individual
Prefix:MRS
First Name:LAMIA
Middle Name:K
Last Name:YOPP
Suffix:
Gender:F
Credentials:LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 W JOHNSON AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-4532
Mailing Address - Country:US
Mailing Address - Phone:860-352-6439
Mailing Address - Fax:860-469-5398
Practice Address - Street 1:615 W JOHNSON AVE STE 202
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-4532
Practice Address - Country:US
Practice Address - Phone:860-352-6439
Practice Address - Fax:860-469-5398
Is Sole Proprietor?:No
Enumeration Date:2023-04-26
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004082260Medicaid
CT008022622Medicaid
CT008001325Medicaid
CT008056033Medicaid