Provider Demographics
NPI:1124104401
Name:Y A CONSULTING & SERVICES, INC
Entity type:Organization
Organization Name:Y A CONSULTING & SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ENRIQUE
Authorized Official - Middle Name:J
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-505-3740
Mailing Address - Street 1:3600 S STATE ROAD 7 STE 252
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-7207
Mailing Address - Country:US
Mailing Address - Phone:954-505-3740
Mailing Address - Fax:954-362-7307
Practice Address - Street 1:3600 S STATE ROAD 7 STE 252
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-7207
Practice Address - Country:US
Practice Address - Phone:954-505-3740
Practice Address - Fax:954-362-7307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-28
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW4762104100000X
251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase ManagementGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK9126Medicare ID - Type UnspecifiedPROVIDER NUMBER