Yaya's Place Inc. | |
8200 Old Dexter Rd Ste 103 Cordova TN 38016-0542 | |
(901) 859-9830 | |
Not Available |
Full Name | Yaya's Place Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 8200 Old Dexter Rd Ste 103, Cordova, Tennessee |
Authorized Official Name and Position | Raven Marshall (OWNER) |
Authorized Official Contact | 9018599830 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Yaya's Place Inc. 8200 Old Dexter Rd Ste 103 Cordova TN 38016-0542 Ph: (901) 859-9830 | Yaya's Place Inc. 8200 Old Dexter Rd Ste 103 Cordova TN 38016-0542 Ph: (901) 859-9830 |
NPI Number | 1154093037 |
---|---|
Provider Enumeration Date | 09/29/2021 |
Last Update Date | 10/09/2021 |
Certification Date | 10/09/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154093037 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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