Yolanda Dubose Woman Survival Foundation LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

YOLANDA DUBOSE WOMAN SURVIVAL FOUNDATION LLC

Practice address

105 W Prospect St
West Haven, CT 06516-3540

Phone

(203) 859-0313

NPI assigned

Nov 5, 2013

Organization subpart

No

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

Authorized official

Name

Yolanda Dubose, OWNER

Title

Ceo

Phone

(203) 859-0313

Specialties & licenses 4

Addresses

Other names 1

• Woman Survival Doing business as

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801225388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W PROSPECT ST",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065163540",
            "telephone_number": "203-859-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W PROSPECT ST",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065163540",
            "telephone_number": "203-859-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOLANDA DUBOSE WOMAN SURVIVAL FOUNDATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DUBOSE",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-859-0313",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woman Survival",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mariya Yakubov, NP
• Maryn Yamamoto, PHARMD
• Wentao Yang, NURSE PRACTITIONER
• Yankee Family Dental Care
• Ka Sin Yeung, RPH
• Sonah Yoo, R.PH.
• Mohammed Khan Yosufzai, M.D.
• Darnell M Young, D.M.D.
• Jana Young
• Juan Joseph Young, M.D.

• Adult Mental Health Clinic/Center in West Haven, CT
• Providers in West Haven, CT by specialty
• Adult Mental Health Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.