Provider Demographics
NPI:1568829596
Name:YUCEL, THERESA D
Entity Type:Individual
Prefix:
First Name:THERESA
Middle Name:D
Last Name:YUCEL
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:PO BOX 13821
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71315-3821
Mailing Address - Country:US
Mailing Address - Phone:615-243-6371
Mailing Address - Fax:
Practice Address - Street 1:1411 METRO DRIVE # 13821
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-9996
Practice Address - Country:US
Practice Address - Phone:615-243-6371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-21
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor