Healthcare Provider Details

I. General information

NPI: 1306292156
Provider Name (Legal Business Name): YVETTE CHEVALIER JD, MS, M. ED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: YVETTE ZMAILA JD, MS, M ED

II. Dates (important events)

Enumeration Date: 05/11/2016
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2112 SE 56TH ST
OKLAHOMA CITY OK
73129-9202
US

IV. Provider business mailing address

2112 SE 56TH ST
OKLAHOMA CITY OK
73129-9202
US

V. Phone/Fax

Practice location:
  • Phone: 702-544-0085
  • Fax:
Mailing address:
  • Phone: 702-544-0085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3629
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number426892
License Number StateOK
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: