Basic Information
Provider Information
NPI: 1851572861
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LOYNES
FirstName: YVETTE
MiddleName: F.
NamePrefix: MS.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 215 N MAGNOLIA ST
Address2:  
City: SUMTER
State: SC
PostalCode: 291504943
CountryCode: US
TelephoneNumber: 8037759364
FaxNumber: 8037736615
Practice Location
Address1: 2611 LIBERTY HILL RD
Address2:  
City: CAMDEN
State: SC
PostalCode: 290201871
CountryCode: US
TelephoneNumber: 8034325323
FaxNumber: 8037133978
Other Information
ProviderEnumerationDate: 11/19/2007
LastUpdateDate: 11/19/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X  Y Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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