IndividualActive
Antonyo Yates
NPI 1811705395 · Case Manager/Care Coordinator · Jackson, OH
Provider details
- NPI number
- 1811705395
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Practice location
219 Columbia St
Jackson, OH 45640-1771
Phone: (740) 577-9003
Fax: (740) 577-9184
Approximate (ZIP-level) locationGet directions
Mailing address
219 Columbia St
Jackson, OH 45640-1771
Registry dates
- Enumerated
- 2024-12-30
- Last updated
- 2025-03-31
- Certified
- 2025-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.