| Project Yes Pllc | |
|
1800 Martin Luther King Pkwy Ste 100 Durham NC 27707-3500 | |
| (919) 355-5633 | |
| Not Available |
| Full Name | Project Yes Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1800 Martin Luther King Pkwy Ste 100, Durham, North Carolina |
| Authorized Official Name and Position | Tatyana Kholodkov (OWNER) |
| Authorized Official Contact | 9193555633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Project Yes Pllc 1521 N Duke St Durham NC 27701-1238 Ph: (919) 355-5633 | Project Yes Pllc 1800 Martin Luther King Pkwy Ste 100 Durham NC 27707-3500 Ph: (919) 355-5633 |
| NPI Number | 1578167201 |
|---|---|
| Provider Enumeration Date | 11/23/2020 |
| Last Update Date | 11/23/2020 |
| Certification Date | 11/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578167201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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