Provider Demographics
NPI:1114275989
Name:HADLEY, YLONDA N (LPC)
Entity Type:Individual
Prefix:
First Name:YLONDA
Middle Name:N
Last Name:HADLEY
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 1:8250 LAVISTA CT
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30274-5188
Mailing Address - Country:US
Mailing Address - Phone:678-817-3961
Mailing Address - Fax:
Practice Address - Street 1:8455 HIGHWAY 85
Practice Address - Street 2:BLDG 200 SUITE A3
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-5115
Practice Address - Country:US
Practice Address - Phone:678-778-9567
Practice Address - Fax:678-817-3961
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-27
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA005437101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional