Yaya's Place Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

YAYA'S PLACE INC.

Practice address

8200 Old Dexter Rd Ste 103
Cordova, TN 38016-0542

Phone

(901) 859-9830

NPI assigned

Sep 29, 2021

Last updated

Oct 9, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Raven MarshallNPI 1942694161

Title

Owner

Phone

(901) 859-9830

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raven Marshall

  • Adult Companion
  • Cordova, TN
  • NPI 1942694161
  NPD Authorized official
• Emily Tristan Gray

  • Behavior Technician
  • Brighton, TN
  • NPI 1851071997
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633737600000",
    "number": "1154093037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 OLD DEXTER RD STE 103",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160542",
            "telephone_number": "901-859-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 OLD DEXTER RD STE 103",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160542",
            "telephone_number": "901-859-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAYA'S PLACE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-10-09",
        "certification_date": "2021-10-09",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "RAVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-859-9830"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Endong Xu
• Aida Xue, RBT
• Jian Yan, M.D.;PHD
• Darian Ashley Yancey
• Linda Kay Yates, MD
• Katrina Marlene York, PTA
• Your Wellness Choice LLC
• Youth With Options LLC
• Cynthia Margaret Zeller-Gonzalez, M.S. BCBA
• Zen Inspired Counseling and Wellness Center

• Community/Behavioral Health Agency in Cordova, TN
• Providers in Cordova, TN by specialty
• Community/Behavioral Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.