Provider Demographics
NPI:1588442651
Name:BARONIAN, YASHIMABET (LMSW)
Entity type:Individual
Prefix:
First Name:YASHIMABET
Middle Name:
Last Name:BARONIAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1591 BROOKS RD
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-2549
Mailing Address - Country:US
Mailing Address - Phone:470-443-4439
Mailing Address - Fax:
Practice Address - Street 1:2089 TERON TRCE STE 220
Practice Address - Street 2:
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019-1628
Practice Address - Country:US
Practice Address - Phone:470-443-4439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-19
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW0108161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical