Provider Demographics
NPI:1073752341
Name:YIELDED HOPE COUNSELING COACHING & CONSULTING
Entity Type:Organization
Organization Name:YIELDED HOPE COUNSELING COACHING & CONSULTING
Other - Org Name:YIELDED HOPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:T
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:404-916-4645
Mailing Address - Street 1:2045 ROCKBRIDGE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30087-3551
Mailing Address - Country:US
Mailing Address - Phone:404-445-1436
Mailing Address - Fax:
Practice Address - Street 1:2045 ROCKBRIDGE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30087-3551
Practice Address - Country:US
Practice Address - Phone:404-445-1436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-10
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005432101YP2500X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty