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General NPI Number Information
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NPI Number | 1720136930
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Entity Type | Organization
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Legal Business Name | YELVERTONS ENRICHMENT SERVICES INC
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Dates
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Enumeration Date | 01/07/2007
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Last Update Date | 02/03/2021
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Provider Practice Location Address
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Address Line | 4805 GREEN RD STE 103
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City | RALEIGH
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State | NC
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Zip | 27616-2848
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Country | US
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Telephone | 919-872-6220
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Fax | 919-872-6223
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Provider Business Mailing Address
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Address Line | 4805 GREEN RD STE 103
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City | RALEIGH
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State | NC
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Zip | 27616-2848
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Country | US
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Telephone | 919-872-6220
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Fax | 919-872-6223
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Authorized Official
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Title or Position | CEO
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Name | VICKIE SMITH YELVERTON
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Credential | MSA
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Telephone | 919-872-6220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MHL040029
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MHL-040-040
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | MHL-098-137
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License Number State | NC
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Taxonomy #7
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | MHL040029
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License Number State | NC
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Taxonomy #8
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number | MHL-040-042
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License Number State | NC
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Taxonomy #9
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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