Healthcare Provider Details

I. General information

NPI: 1316801236
Provider Name (Legal Business Name): YVETTE ELIANNA TAFOLLA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

922 ASPEN RD
NEW CARLISLE OH
45344-3004
US

IV. Provider business mailing address

922 ASPEN RD
NEW CARLISLE OH
45344-3004
US

V. Phone/Fax

Practice location:
  • Phone: 937-765-5882
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: