MEDICARE: MS. DANIELLE CELESTE YATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YM0800X	Mental Health Counselor
3	372600000X	Adult Companion
4	3747A0650X	Attendant Care Provider
5	374U00000X	Home Health Aide
6	385H00000X	Respite Care
7	385HR2055X	Child Mental Illness Respite Care
8	376K00000X	Nurse's Aide

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952941858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DANIELLE CELESTE YATES

Provider Business Mailing Address
First Line	:	18019 PARKMOUNT AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44135-4127
Country	:	US
Telephone Number	:	216-385-6289
Fax Number	:

Provider Business Practice Location Address
First Line	:	18019 PARKMOUNT AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44135-4127
Country	:	US
Telephone Number	:	216-385-6289
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2020
Last Update Date	:	01/10/2020

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