MEDICARE: YES SERVICES OF LOUISIANA LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	101YM0800X	Mental Health Counselor
4	101YP2500X	Professional Counselor
5	1041C0700X	Clinical Social Worker
6	2084P0800X	Psychiatry Physician
7	251B00000X	Case Management Agency
8	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1730532813
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YES SERVICES OF LOUISIANA LLC

Provider Business Mailing Address
First Line	:	5809 DEPARTURE DR
Second Line	:	SUITE 106
City	:	RALEIGH
State	:	NC
Zip	:	27616-1935
Country	:	US
Telephone Number	:	919-872-6220
Fax Number	:	919-872-6223

Provider Business Practice Location Address
First Line	:	12090 S HARRELLS FERRY RD
Second Line	:	SUITE O
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-2470
Country	:	US
Telephone Number	:	919-872-6220
Fax Number	:	919-872-6223

Authorized Official
Title or Position	:	CEO
Name	:	VICKIE YELVERTON
Credential	:	MS
Telephone Number	:	919-961-5123

Provider Enumeration Date	:	07/13/2016
Last Update Date	:	11/02/2017

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Directions to “YES SERVICES OF LOUISIANA LLC ” Practice Location

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