Provider Demographics
NPI:1083913636
Name:BARAN, YEVONNE MARIE (LPC-S, LMFT-SC, NCC)
Entity Type:Individual
Prefix:MS
First Name:YEVONNE
Middle Name:MARIE
Last Name:BARAN
Suffix:
Gender:F
Credentials:LPC-S, LMFT-SC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 STERLING OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70461-5359
Mailing Address - Country:US
Mailing Address - Phone:985-640-5889
Mailing Address - Fax:985-781-6512
Practice Address - Street 1:1015 STERLING OAKS BLVD
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70461-5359
Practice Address - Country:US
Practice Address - Phone:985-640-5889
Practice Address - Fax:985-781-6512
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-22
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALPC-S#2686101YP2500X
LALMFT#679106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional