Healthcare Provider Details

I. General information

NPI: 1538923438
Provider Name (Legal Business Name): YEW TREE WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2024
Last Update Date: 11/29/2025
Certification Date: 11/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15000 WASHINGTON ST STE 201
HAYMARKET VA
20169-4922
US

IV. Provider business mailing address

15000 WASHINGTON ST STE 201
HAYMARKET VA
20169-4922
US

V. Phone/Fax

Practice location:
  • Phone: 571-497-4691
  • Fax: 571-376-6636
Mailing address:
  • Phone: 571-497-4691
  • Fax: 571-376-6636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ERICA HERRERA
Title or Position: FOUNDER/THERAPIST
Credential:
Phone: 954-544-1773