Provider Demographics
NPI:1982098661
Name:YATES, MAUREEN A (RMHC)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:A
Last Name:YATES
Suffix:
Gender:F
Credentials:RMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7795 HARDAWAY DR APT C
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-6880
Mailing Address - Country:US
Mailing Address - Phone:352-422-8105
Mailing Address - Fax:
Practice Address - Street 1:7795 HARDAWAY DR APT C
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-6880
Practice Address - Country:US
Practice Address - Phone:352-422-8105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-20
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH13136101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health