| Y E S, Llc | |
|
310 Mid Continent Plz Ste 400 West Memphis AR 72301-1760 | |
| (662) 260-2942 | |
| Not Available |
| Full Name | Y E S, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 310 Mid Continent Plz Ste 400, West Memphis, Arkansas |
| Authorized Official Name and Position | Devonda Newsome (OWNER) |
| Authorized Official Contact | 6622602942 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Y E S, Llc 6727 Anna May Dr Walls MS 38680-8940 Ph: (662) 260-2942 | Y E S, Llc 310 Mid Continent Plz Ste 400 West Memphis AR 72301-1760 Ph: (662) 260-2942 |
| NPI Number | 1689192270 |
|---|---|
| Provider Enumeration Date | 09/02/2017 |
| Last Update Date | 07/16/2020 |
| Certification Date | 07/16/2020 |
| Medicare PECOS PAC ID | 6901160167 |
|---|---|
| Medicare Enrollment ID | O20180516001045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689192270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Devonda Yvonne Reimonenq |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134432602 PECOS PAC ID: 7719241975 Enrollment ID: I20180516001142 |
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