Provider Demographics
NPI:1801150701
Name:YI, EMILY
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:YI
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 1:3995 HUNT CLUB RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224-8416
Mailing Address - Country:US
Mailing Address - Phone:904-434-4233
Mailing Address - Fax:877-370-7409
Practice Address - Street 1:3995 HUNT CLUB RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32224-8416
Practice Address - Country:US
Practice Address - Phone:904-434-4233
Practice Address - Fax:877-370-7409
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-26
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical