Yazell, Kimberly Jean

Yazell, Kimberly Jean is an individual health care provider with primary practice located at 6647 W. Longview Drive , Mccordsville IN 46055-6051. 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 / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Yazell, Kimberly Jean can be contacted via phone (317) 828-6062.

Contact Information

Primary practice address
6647 W. Longview Drive Mccordsville IN 46055-6051
Phone: (317) 828-6062
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 87000490A Indiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34005586A Indiana

Profile Details

NPI number 1144238411
LBN Legal business name Yazell, Kimberly Jean
Credentials LCSW, LCAC, MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Aug 16th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144238411 NPPES
Indiana MEDICAID 100270530A

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