Yates, Stephanie

Yates, Stephanie is an individual health care provider with primary practice located at 6072 Brynwood Dr Ste 107 , Rockford IL 61114-5829. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Yates, Stephanie can be contacted via phone (815) 846-0684.

Contact Information

Primary practice address
6072 Brynwood Dr Ste 107 Rockford IL 61114-5829
Phone: (815) 846-0684
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 18457-130 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 178.013882 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 3859-226 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.013193 Illinois

Profile Details

NPI number 1003319781
LBN Legal business name Yates, Stephanie
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2018
Last updated Jun 15th, 2022 - about 3 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.

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