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General NPI Number Information
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NPI Number | 1013822063
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Entity Type | Organization
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Legal Business Name | ELISA D YOST LLC
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Dates
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Enumeration Date | 08/15/2026
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Last Update Date | 08/15/2026
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Provider Practice Location Address
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Address Line | 102 WHEATFIELD DR STE B
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City | MILFORD
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State | PA
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Zip | 18337-7695
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Country | US
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Telephone | 570-832-0833
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Fax |
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Provider Business Mailing Address
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Address Line | 600 AVENUE K
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City | MATAMORAS
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State | PA
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Zip | 18336-1529
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Country | US
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Telephone | 570-328-5405
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | ELISA DEMING YOST
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Credential | LPC
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Telephone | 570-328-5405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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