MRS. YELENA ZAITSEVA LAVENDER


Address: 455 K Street, Crescent City, CA 95531
Phone: 7079514317

MRS. YELENA ZAITSEVA LAVENDER (NPI# 1447638044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447638044
Entity Type Individual
Full Name MRS. YELENA ZAITSEVA LAVENDER
Other Name MS. YELENA ZAITSEVA PAIGE
Credential LCSW74244
Practice Address 455 K Street
Crescent City
CA 95531
Mailing Address 455 K St
Crescent City
CA 95531-4107
Practice Telephone 7079514317
Mailing Telephone 7074647224
Enumeration Date 2015-05-14
Last Update Date 2016-12-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA 101YM0800X 05

Office Location

Street Address 455 K STREET
City CRESCENT CITY
State CA
Zip Code 95531

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548725237 John Michael Horner Counselor 455 Kst, Crescent City, CA 95531 2019-02-06
1245716943 Tonya Shantel Escobar Registered Nurse 1301b Northcrest Drive #13, Crescent City, CA 95531 2018-07-16
1679019319 Garfield Beach Cvs LLC Durable Medical Equipment & Medical Supplies 657 Hwy 101 N, Crescent City, CA 95531 2017-01-18
1063969558 Darrick Stewart Roach Massage Therapist 1225 Marshall St., 18, Crescent City, CA 95531 2016-09-01
1942630421 Kamilia Ann Schnacker Counselor 370 9th Street, Crescent City, CA 95531 2013-11-19
1881906261 Peter Allen Brown Psychologist 505 H Street, Crescent City, CA 95531 2010-07-13
1700119385 Remi Vista Services for Probation Youth Community/Behavioral Health 206 Williams Dr # 2, Crescent City, CA 95531 2009-09-14
1982862538 Joshua Thomas Matson Chiropractor 550 E Washington Blvd Ste 100, Crescent City, CA 95531 2008-05-30
1902076250 County of Del Norte Community/Behavioral Health 1125 Burtschell, Crescent City, CA 95531 2008-03-03
1679753198 Helene Beatrice-lia Bruno Marriage & Family Therapist 875 5th St #5, Cresent City, CA 95531 2007-11-13
Find all providers in zip 95531

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942630421 Kamilia Ann Schnacker Counselor 370 9th Street, Crescent City, CA 95531 2013-11-19
1700117447 Dave Reach Counselor 343 G St, Crescent City, CA 95531-4014 2010-01-20
1497853444 Pauline Mary Holmes Counselor 510 E Washington Blvd, Crescent City, CA 95531-8342 2006-09-20
1801429436 Jennifer Jo Dutton Counselor 455 K St, Crescent City, CA 95531-4107 2020-02-21
1124664446 Kayla Jean Penner Counselor 370 9th St, Crescent City, CA 95531-3432 2019-11-21
1649821513 Marcus T Padilla Counselor 455 K St, Crescent City, CA 95531-4107 2019-09-23
1801446646 Wendy Fullerton Counselor 370 9th St, Crescent City, CA 95531-3432 2019-09-13
1871149088 Craig Leland Powell Counselor 370 9th St, Crescent City, CA 95531-3432 2019-08-13
1083268726 Ger Xiong Counselor 370 9th St, Crescent City, CA 95531-3432 2019-07-31
1225696750 Sheila Jean Davis Counselor 455 K St, Crescent City, CA 95531-4107 2019-05-30
Find all providers in CRESCENT CITY

Competitor

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City CRESCENT CITY
Zip Code 95531

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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