Healthcare Provider Details
I. General information
NPI: 1891801387
Provider Name (Legal Business Name): RICHARD YARBROUGH LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/21/2006
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
970 LILA AVE
MILFORD OH
45150-1683
US
IV. Provider business mailing address
513 WINDSOR PARK DR
DAYTON OH
45459-4112
US
V. Phone/Fax
- Phone: 513-201-5440
- Fax:
- Phone: 937-620-7646
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | E1402 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: