Provider Demographics
NPI:1639131568
Name:BYRD, YOLANDA MEADE (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:MEADE
Last Name:BYRD
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 WOODSON ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-3254
Mailing Address - Country:US
Mailing Address - Phone:704-267-8494
Mailing Address - Fax:
Practice Address - Street 1:302 WOODSON ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-3254
Practice Address - Country:US
Practice Address - Phone:704-267-8494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0050091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical