Basic Information
| Provider Information | |||||||||
| NPI: | 1003296799 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | OJWANG | ||||||||
| FirstName: | YASMEEN | ||||||||
| MiddleName: | |||||||||
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| Credential: | MSW, LCSWA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8805 SUMMERHILL DR | ||||||||
| Address2: | |||||||||
| City: | WAXHAW | ||||||||
| State: | NC | ||||||||
| PostalCode: | 281739035 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9292177506 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 8805 SUMMERHILL DR | ||||||||
| Address2: | |||||||||
| City: | WAXHAW | ||||||||
| State: | NC | ||||||||
| PostalCode: | 281739035 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9292177506 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2015 | ||||||||
| LastUpdateDate: | 07/27/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 07/27/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | Y | Behavioral Health & Social Service Providers | Counselor |
No ID Information.