1447437801 NPI number — ROBYN YOST

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447437801 NPI number — ROBYN YOST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROBYN YOST
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SAFE AND SOUND COUNSELING
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447437801
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/03/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4982 STEINKE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KINGMAN
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
86409-1066
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
928-377-9599
Provider Business Mailing Address Fax Number:
928-757-3388

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1751 STOCKTON HILL RD
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
KINGMAN
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
86401-6601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
928-377-9599
Provider Business Practice Location Address Fax Number:
928-757-3388
Provider Enumeration Date:
01/29/2008

Additional Information

Authorized Official

Authorized Official Last Name:
YOST
Authorized Official First Name:
ROBYN
Authorized Official Middle Name:
K
Authorized Official Title or Position:
OWNER, PROFESSIONAL COUNSELOR
Authorized Official Telephone Number:
928-377-9599

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  LPC 11316 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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