Villalta, Yesenia
Villalta, Yesenia is an individual health care provider with primary practice located at 14321 Winter Breeze Dr # 50 , Midlothian VA 23113-2452. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Villalta, Yesenia can be contacted via phone (571) 317-1833.Contact Information
Primary practice address
14321 Winter Breeze Dr # 50
Midlothian VA 23113-2452
Phone: (571) 317-1833
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1114389475 |
|---|---|
| LBN Legal business name | Villalta, Yesenia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2016 |
| Last updated | Nov 18th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114389475 | NPPES |
| Virginia | MEDICAID | 600876329 |
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