Healthcare Provider Details

I. General information

NPI: 1649475609
Provider Name (Legal Business Name): YVELISE CAROLINE ALFANO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AM FAHRENBUEHL 7
KINDSBACH GERMANY
66862
DE

IV. Provider business mailing address

AM FAHRENBUEHL 7
KINDSBACH GERMANY
66862
DE

V. Phone/Fax

Practice location:
  • Phone: 49637117739
  • Fax:
Mailing address:
  • Phone: 49637117739
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberR17536
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberR17536
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: