Healthcare Provider Details
I. General information
NPI: 1912713678
Provider Name (Legal Business Name): YA HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/07/2024
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
75 THOMAS JOHNSON DR STE D
FREDERICK MD
21702-4895
US
IV. Provider business mailing address
75 THOMAS JOHNSON DR STE D
FREDERICK MD
21702-4895
US
V. Phone/Fax
- Phone: 301-606-2345
- Fax: 949-989-8595
- Phone: 301-606-2345
- Fax: 949-989-8595
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
HANNAH
BUEKIE
ALORGBEY
Title or Position: OWNER/CEO
Credential: DNP, FNP-C, PMHNP-BC
Phone: 301-704-2460