Healthcare Provider Details

I. General information

NPI: 1558272997
Provider Name (Legal Business Name): ELISA D YOST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 WHEATFIELD DR
MILFORD PA
18337-7694
US

IV. Provider business mailing address

600 AVENUE K
MATAMORAS PA
18336-1529
US

V. Phone/Fax

Practice location:
  • Phone: 570-832-0833
  • Fax:
Mailing address:
  • Phone: 570-328-5405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ELISA DEMING YOST
Title or Position: OWNER
Credential: LPC
Phone: 570-328-5405