Provider Demographics
NPI:1154189801
Name:YATES, JANET LYNN (PLPC)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:LYNN
Last Name:YATES
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:LYNN
Other - Last Name:PESEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1601 OLD SOUTH RIVER RD
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-4120
Mailing Address - Country:US
Mailing Address - Phone:636-224-1210
Mailing Address - Fax:636-246-1008
Practice Address - Street 1:1011 E CHERRY ST
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MO
Practice Address - Zip Code:63379-1503
Practice Address - Country:US
Practice Address - Phone:636-224-1500
Practice Address - Fax:636-462-1439
Is Sole Proprietor?:No
Enumeration Date:2024-03-07
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023028395101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional