1518212844 NPI number — MR. YVES MARVIN SAINT-CYR II LCSW, MSW

Table of content: MRS. MARINA MELNIKOV APRN (NPI 1407284052)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518212844 NPI number — MR. YVES MARVIN SAINT-CYR II LCSW, MSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SAINT-CYR
Provider First Name:
YVES
Provider Middle Name:
MARVIN
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
II
Provider Credential Text:
LCSW, MSW
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
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:
1518212844
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/11/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
350 PEE DEE AVE
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
ALBEMARLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28001-4932
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-230-7525
Provider Business Mailing Address Fax Number:
866-404-5622

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
401 E WHITAKER MILL RD
Provider Second Line Business Practice Location Address:
MONARCH
Provider Business Practice Location Address City Name:
RALEIGH
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27608-2631
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-230-7525
Provider Business Practice Location Address Fax Number:
866-404-5622
Provider Enumeration Date:
07/24/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  P006194 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com