Provider Demographics
NPI:1912441775
Name:CEACAL-RELEFORD, YASMIN (LCSW, LISW-CP, LICSW)
Entity type:Individual
Prefix:
First Name:YASMIN
Middle Name:
Last Name:CEACAL-RELEFORD
Suffix:
Gender:F
Credentials:LCSW, LISW-CP, LICSW
Other - Prefix:
Other - First Name:YASMIN
Other - Middle Name:
Other - Last Name:CEACAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:802 BAY LAUREL CIR
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-2930
Mailing Address - Country:US
Mailing Address - Phone:470-227-2814
Mailing Address - Fax:
Practice Address - Street 1:802 BAY LAUREL CIR
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-2930
Practice Address - Country:US
Practice Address - Phone:470-227-2814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-13
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical