Provider Demographics
NPI:1245981794
Name:UNRAU, YVONNE (PHD, LMSW, LICSW)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:
Last Name:UNRAU
Suffix:
Gender:F
Credentials:PHD, LMSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 WASHINGTON BLVD STE 301
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48226-1750
Mailing Address - Country:US
Mailing Address - Phone:616-320-4294
Mailing Address - Fax:
Practice Address - Street 1:1420 WASHINGTON BLVD STE 301
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48226-1750
Practice Address - Country:US
Practice Address - Phone:616-320-4294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-17
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW612084081041C0700X
MI68010962591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical