Provider Demographics
NPI:1073988770
Name:PLATT, YIRKA DIAZ (MSW, SWC)
Entity type:Individual
Prefix:
First Name:YIRKA
Middle Name:DIAZ
Last Name:PLATT
Suffix:
Gender:F
Credentials:MSW, SWC
Other - Prefix:
Other - First Name:YIRKA
Other - Middle Name:JIMENA
Other - Last Name:DIAZ REYES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:54 HAYMAKER ST
Mailing Address - Street 2:
Mailing Address - City:SILVERTHORNE
Mailing Address - State:CO
Mailing Address - Zip Code:80498-9512
Mailing Address - Country:US
Mailing Address - Phone:970-393-7266
Mailing Address - Fax:
Practice Address - Street 1:360 PEAK ONE DR STE 100
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:CO
Practice Address - Zip Code:80443-5948
Practice Address - Country:US
Practice Address - Phone:970-668-4040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-07
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSWC.0000002281101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty