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NPI Code Detail

MEDICARE: YASHONNA CAUDY CMS, QMHS

MEDICARE: YASHONNA CAUDY CMS, QMHS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorOH
2101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.195274OH

General Provider Information

NPI Number : 1407678220
Entity Type Code : Individual
Provider Name (Legal Business Name) : YASHONNA CAUDY CMS, QMHS
Provider Business Mailing Address
First Line : 2065 STONERIDGE DR
Second Line :
City : CIRCLEVILLE
State : OH
Zip : 43113-8956
Country : US
Telephone Number : 740-500-1391
Fax Number :
Provider Business Practice Location Address
First Line : 2065 STONERIDGE DR
Second Line :
City : CIRCLEVILLE
State : OH
Zip : 43113-8956
Country : US
Telephone Number : 740-500-1391
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2024
Last Update Date : 03/03/2026

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Directions to “ YASHONNA CAUDY CMS, QMHS” Practice Location

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