Provider Demographics
NPI:1093303828
Name:YERO, ORONDE HAMANI (MS, LPC)
Entity Type:Individual
Prefix:MR
First Name:ORONDE
Middle Name:HAMANI
Last Name:YERO
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4675 MERCER RD
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30083-5533
Mailing Address - Country:US
Mailing Address - Phone:678-887-0495
Mailing Address - Fax:
Practice Address - Street 1:4675 MERCER RD
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30083-5533
Practice Address - Country:US
Practice Address - Phone:678-887-0495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC011331101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health