Provider Demographics
NPI:1083928857
Name:CONCEPCION-CIPRIANO, YOLANDA (LMHC)
Entity Type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:
Last Name:CONCEPCION-CIPRIANO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 46876
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33646-0108
Mailing Address - Country:US
Mailing Address - Phone:813-728-0016
Mailing Address - Fax:
Practice Address - Street 1:17407 BRIDGE HILL CT
Practice Address - Street 2:SUITE C
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-3522
Practice Address - Country:US
Practice Address - Phone:813-728-0016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-03
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10358101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health