Provider Demographics
NPI:1932083888
Name:YUHAS, THERESA MARIE (LICSW)
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:MARIE
Last Name:YUHAS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 NW 23RD BLVD APT 133
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-5952
Mailing Address - Country:US
Mailing Address - Phone:860-235-0836
Mailing Address - Fax:
Practice Address - Street 1:200 SUTTON ST STE 120
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-1651
Practice Address - Country:US
Practice Address - Phone:978-807-4920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALICSW11412971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical