Provider Demographics
NPI:1558417725
Name:MCCALL, YOLANDA H (MED, LPC)
Entity Type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:H
Last Name:MCCALL
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 YELLOWHAMMER AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-1682
Mailing Address - Country:US
Mailing Address - Phone:956-687-5949
Mailing Address - Fax:956-385-3050
Practice Address - Street 1:404 YELLOWHAMMER AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-1682
Practice Address - Country:US
Practice Address - Phone:956-687-5949
Practice Address - Fax:956-385-3050
Is Sole Proprietor?:No
Enumeration Date:2007-01-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5553101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1815565Medicaid