Provider Demographics
NPI:1992165310
Name:SAUNDERS, YVONNE EVINS
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:EVINS
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5227 EAGLE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-1575
Mailing Address - Country:US
Mailing Address - Phone:704-727-5507
Mailing Address - Fax:
Practice Address - Street 1:5227 EAGLE CREEK DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-1575
Practice Address - Country:US
Practice Address - Phone:980-474-8600
Practice Address - Fax:704-946-2100
Is Sole Proprietor?:No
Enumeration Date:2016-02-26
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC63330164W00000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
81-1033378OtherEIN