Provider Demographics
NPI:1134272404
Name:YONO, NATALIE YALDOO (LMSW)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:YALDOO
Last Name:YONO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:YALDOO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LLMSW
Mailing Address - Street 1:7125 ORCHARD LAKE RD STE 301
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-5307
Mailing Address - Country:US
Mailing Address - Phone:248-291-7741
Mailing Address - Fax:
Practice Address - Street 1:7125 ORCHARD LAKE RD STE 301
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-5307
Practice Address - Country:US
Practice Address - Phone:248-291-7741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010863211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3434247Medicaid