Provider Demographics
NPI:1477813293
Name:ATTAWAY, YOLANDA F (LPC-S)
Entity Type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:F
Last Name:ATTAWAY
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:YOLANDA
Other - Middle Name:F,
Other - Last Name:ATTAWAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:9405 RENO DR
Mailing Address - Street 2:9405 RENO DRIVE
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-8627
Mailing Address - Country:US
Mailing Address - Phone:254-744-7532
Mailing Address - Fax:254-744-7532
Practice Address - Street 1:9405 RENO DR
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-8627
Practice Address - Country:US
Practice Address - Phone:254-744-7532
Practice Address - Fax:254-074-4753
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-26
Last Update Date:2012-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14922101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health