Provider Demographics
NPI:1982336152
Name:HARVILLE, YVETTE (LMSW)
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:
Last Name:HARVILLE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3433 HARLEM RD APT 6-4
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-2059
Mailing Address - Country:US
Mailing Address - Phone:716-832-3661
Mailing Address - Fax:
Practice Address - Street 1:4545 TRANSIT RD STE 734
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-6012
Practice Address - Country:US
Practice Address - Phone:716-832-3661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY089073-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty