Provider Demographics
NPI:1811269707
Name:YARA COUNSELING GROUP, LLC
Entity type:Organization
Organization Name:YARA COUNSELING GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PCC-S
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZUBERI
Authorized Official - Middle Name:
Authorized Official - Last Name:YARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-237-2700
Mailing Address - Street 1:2740 E MAIN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:BEXLEY
Mailing Address - State:OH
Mailing Address - Zip Code:43209-2579
Mailing Address - Country:US
Mailing Address - Phone:614-237-2700
Mailing Address - Fax:
Practice Address - Street 1:2740 E MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:BEXLEY
Practice Address - State:OH
Practice Address - Zip Code:43209-2579
Practice Address - Country:US
Practice Address - Phone:614-237-2700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.0018331104100000X
OHE.0004409-SUPV101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty