Provider Demographics
NPI:1225241672
Name:KNIGHT, YOLONDA M
Entity Type:Individual
Prefix:MS
First Name:YOLONDA
Middle Name:M
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12712 W LAKE HOUSTON PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77044-6469
Mailing Address - Country:US
Mailing Address - Phone:281-312-9423
Mailing Address - Fax:318-688-2730
Practice Address - Street 1:6007 FINANCIAL PLZ STE 5C
Practice Address - Street 2:6007 FINANCIAL PLAZA SUITE 5C
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71129-2662
Practice Address - Country:US
Practice Address - Phone:318-688-6370
Practice Address - Fax:318-688-2730
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251S00000X, 251B00000X
305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE