Provider Demographics
NPI:1841631405
Name:COOPER, YVETTE (MA, LMHC)
Entity type:Individual
Prefix:MRS
First Name:YVETTE
Middle Name:
Last Name:COOPER
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:YVETTE
Other - Middle Name:
Other - Last Name:CHALIFOUX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-3506
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-3506
Practice Address - Country:US
Practice Address - Phone:413-772-3192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-11
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11422101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health