Provider Demographics
NPI:1184406936
Name:ROMAN, YARINELL NMN (HHP, MR, MH)
Entity type:Individual
Prefix:
First Name:YARINELL
Middle Name:NMN
Last Name:ROMAN
Suffix:
Gender:F
Credentials:HHP, MR, MH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4155 HOG VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:MIMS
Mailing Address - State:FL
Mailing Address - Zip Code:32754-6408
Mailing Address - Country:US
Mailing Address - Phone:727-633-9700
Mailing Address - Fax:
Practice Address - Street 1:4155 HOG VALLEY RD
Practice Address - Street 2:
Practice Address - City:MIMS
Practice Address - State:FL
Practice Address - Zip Code:32754-6408
Practice Address - Country:US
Practice Address - Phone:727-633-9700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No175L00000XOther Service ProvidersHomeopath