Provider Demographics
NPI:1275889248
Name:MONTEIRO, YOLANDA M (LPC)
Entity Type:Individual
Prefix:MRS
First Name:YOLANDA
Middle Name:M
Last Name:MONTEIRO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:YOLANDA
Other - Middle Name:M
Other - Last Name:FERNANDES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1585 OLD NORCROSS RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046
Mailing Address - Country:US
Mailing Address - Phone:770-831-1799
Mailing Address - Fax:770-963-0650
Practice Address - Street 1:1585 OLD NORCROSS RD
Practice Address - Street 2:SUITE 203
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046
Practice Address - Country:US
Practice Address - Phone:770-831-1799
Practice Address - Fax:770-963-0650
Is Sole Proprietor?:No
Enumeration Date:2012-07-27
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC003945101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional