Provider Demographics
NPI:1326354143
Name:MCDADE, YOLANDA DENICE (LPC-S)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:DENICE
Last Name:MCDADE
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4715 24TH PL
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39305-1686
Mailing Address - Country:US
Mailing Address - Phone:601-696-6736
Mailing Address - Fax:601-696-6778
Practice Address - Street 1:4715 24TH PL
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39305-1686
Practice Address - Country:US
Practice Address - Phone:601-581-7562
Practice Address - Fax:601-581-7676
Is Sole Proprietor?:No
Enumeration Date:2010-08-31
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1476101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional