Provider Demographics
NPI:1003018060
Name:CORREA, YOLANDA M (LMFT)
Entity Type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:M
Last Name:CORREA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7271 W CHARLESTON BLVD STE 180
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-1684
Mailing Address - Country:US
Mailing Address - Phone:702-912-1053
Mailing Address - Fax:702-912-0298
Practice Address - Street 1:7271 W CHARLESTON BLVD STE 180
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-1684
Practice Address - Country:US
Practice Address - Phone:702-204-3922
Practice Address - Fax:702-912-0298
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV959106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist