Provider Demographics
NPI:1093365439
Name:SMITH, YOLANDA M (MSN, APRN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:M
Last Name:SMITH
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9659 N. SAM HOUSTON PKWY E.
Mailing Address - Street 2:STE. 150 #197
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-5135
Mailing Address - Country:US
Mailing Address - Phone:832-267-1835
Mailing Address - Fax:
Practice Address - Street 1:23051 KINGWOOD PLACE DR STE 110
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-3962
Practice Address - Country:US
Practice Address - Phone:844-824-8775
Practice Address - Fax:281-648-2200
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-17
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP145472363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty