Provider Demographics
NPI:1093061236
Name:YILMAZ, FUNDA (LPC)
Entity Type:Individual
Prefix:
First Name:FUNDA
Middle Name:
Last Name:YILMAZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5210 SEASIDE CT
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30349-3194
Mailing Address - Country:US
Mailing Address - Phone:334-703-9063
Mailing Address - Fax:334-703-9063
Practice Address - Street 1:5210 SEASIDE CT
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30349-3194
Practice Address - Country:US
Practice Address - Phone:334-703-9063
Practice Address - Fax:334-703-9063
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-25
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3081101YM0800X
GALPC006763101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health