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Organization
YELVERTONS ENRICHMENT SERVICES INC
Active
Organization
YELVERTONS ENRICHMENT SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE SMITH YELVERTON MSA (CEO)
(919) 872-6220
Entity
Organization
Contact information
Practice address
4805 GREEN RD STE 103, RALEIGH, NC 27616-2848
(919) 872-6220
(919) 872-6223
Mailing address
4805 GREEN RD STE 103, RALEIGH, NC 27616-2848
(919) 872-6220
(919) 872-6223
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
MHL-040-040
NC
251S00000X
Community/Behavioral Health Agency
MHL040029
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL-098-137
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
MHL040029
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL-040-042
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418215
—
NC
05
—
5914358
—
NC
05
—
6008081
—
NC
05
—
6604382
—
NC
05
—
7805980
—
NC
05
—
8301452
—
NC
05
—
8301452B
—
NC
05
—
8301452H
—
NC
05
—
8301452R
—
NC
05
—
8301452S
—
NC
05
—
8301452V
—
NC
05
—
8303033
—
NC
05
—
8303033H
—
NC
05
—
8303033V
—
NC
05
—
8303285
—
NC
05
—
8303285H
—
NC
05
—
8303285V
—
NC
05
—
8303291
—
NC
05
—
8303291H
—
NC
Enumeration date
01/07/2007
Last updated
02/03/2021
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