Provider Demographics
NPI:1992277313
Name:GAIL M. YOST AND ASSOCIATES, LLC
Entity type:Organization
Organization Name:GAIL M. YOST AND ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:YOST
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMFT
Authorized Official - Phone:651-269-4937
Mailing Address - Street 1:7320 GALLAGHER DRIVE
Mailing Address - Street 2:#317
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-3156
Mailing Address - Country:US
Mailing Address - Phone:651-269-4937
Mailing Address - Fax:
Practice Address - Street 1:5000 W 36TH ST STE 207
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-2758
Practice Address - Country:US
Practice Address - Phone:651-269-4937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-24
Last Update Date:2018-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty