| Yvonne Fellers Inc | |
|
3400 St Michael Drive Texarkana TX 75503 | |
| (903) 838-3322 | |
| (903) 838-9034 |
| Full Name | Yvonne Fellers Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3400 St Michael Drive, Texarkana, Texas |
| Authorized Official Name and Position | E Yvonne Fellers (PRESIDENT AND CLINICIAN) |
| Authorized Official Contact | 9038383322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yvonne Fellers Inc Po Box 6447 Texarkana TX 75505 Ph: (903) 838-3322 | Yvonne Fellers Inc 3400 St Michael Drive Texarkana TX 75503 Ph: (903) 838-3322 |
| NPI Number | 1083689285 |
|---|---|
| Provider Enumeration Date | 02/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083689285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SO2023 (Texas) | Primary |
| 1041C0700X | Social Worker - Clinical | C 589 (Arkansas) | Secondary |
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