| Yaya's Place Inc. | |
|
8200 Old Dexter Rd Ste 103 Cordova TN 38016-0542 | |
| (901) 859-9830 | |
| Not Available |
| Full Name | Yaya's Place Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8200 Old Dexter Rd Ste 103, Cordova, Tennessee |
| Authorized Official Name and Position | Raven Marshall (OWNER) |
| Authorized Official Contact | 9018599830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yaya's Place Inc. 8200 Old Dexter Rd Ste 103 Cordova TN 38016-0542 Ph: (901) 859-9830 | Yaya's Place Inc. 8200 Old Dexter Rd Ste 103 Cordova TN 38016-0542 Ph: (901) 859-9830 |
| NPI Number | 1154093037 |
|---|---|
| Provider Enumeration Date | 09/29/2021 |
| Last Update Date | 10/09/2021 |
| Certification Date | 10/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154093037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Secondary |
| 251S00000X | Community/behavioral Health | (NU) | Primary |
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