Provider Demographics
NPI:1124416565
Name:PINKNEY-COLEMAN, YOLANDA M (SERVICE FACILITATOR)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:M
Last Name:PINKNEY-COLEMAN
Suffix:
Gender:F
Credentials:SERVICE FACILITATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7993 MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23111-3622
Mailing Address - Country:US
Mailing Address - Phone:804-625-9133
Mailing Address - Fax:804-723-4466
Practice Address - Street 1:7993 MEADOW DR
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23111-3622
Practice Address - Country:US
Practice Address - Phone:804-625-9133
Practice Address - Fax:804-723-4466
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-08
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator