Provider Demographics
NPI:1477398279
Name:YARBROUGH, MELISSA (HEALTH EDUCATOR, CFH)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:YARBROUGH
Suffix:
Gender:M
Credentials:HEALTH EDUCATOR, CFH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2595 VZ COUNTY ROAD 2144
Mailing Address - Street 2:
Mailing Address - City:WILLS POINT
Mailing Address - State:TX
Mailing Address - Zip Code:75169-7929
Mailing Address - Country:US
Mailing Address - Phone:214-918-6138
Mailing Address - Fax:
Practice Address - Street 1:2595 VZ COUNTY ROAD 2144
Practice Address - Street 2:
Practice Address - City:WILLS POINT
Practice Address - State:TX
Practice Address - Zip Code:75169-7929
Practice Address - Country:US
Practice Address - Phone:214-918-6138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty