Provider Demographics
NPI:1457920639
Name:YOHI GROUP LLC
Entity Type:Organization
Organization Name:YOHI GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:KERNIBA
Authorized Official - Middle Name:YOHI
Authorized Official - Last Name:GHONEIM
Authorized Official - Suffix:
Authorized Official - Credentials:DNP,APRN, PMHNP-BC
Authorized Official - Phone:240-472-4354
Mailing Address - Street 1:44 MINE RD STE 2-182
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-7556
Mailing Address - Country:US
Mailing Address - Phone:571-535-4490
Mailing Address - Fax:
Practice Address - Street 1:22772 SWEETSPIRE DR
Practice Address - Street 2:
Practice Address - City:CLARKSBURG
Practice Address - State:MD
Practice Address - Zip Code:20871-3356
Practice Address - Country:US
Practice Address - Phone:571-535-4490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-22
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty