Provider Demographics
NPI:1396511135
Name:YARED, EDLAWIT
Entity type:Individual
Prefix:
First Name:EDLAWIT
Middle Name:
Last Name:YARED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7135 MINSTREL WAY STE 204
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-5294
Mailing Address - Country:US
Mailing Address - Phone:410-855-4631
Mailing Address - Fax:
Practice Address - Street 1:7135 MINSTREL WAY STE 204
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-5294
Practice Address - Country:US
Practice Address - Phone:410-855-4631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool