MEDICARE: MRS. DEBORA YEMANE-GHAIM

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1588792766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DEBORA YEMANE-GHAIM

Provider Business Mailing Address
First Line	:	656 FLINTLOCK CT
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37217-3616
Country	:	US
Telephone Number	:	615-268-8331
Fax Number	:

Provider Business Practice Location Address
First Line	:	915 8TH AVE N
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37208-2621
Country	:	US
Telephone Number	:	615-460-4109
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	07/08/2007

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