Provider Demographics
NPI:1669653556
Name:YATES, JAMALYN HAMBRIGHT (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:JAMALYN
Middle Name:HAMBRIGHT
Last Name:YATES
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3644 BUTTERCUP CT
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30519-1983
Mailing Address - Country:US
Mailing Address - Phone:850-258-0732
Mailing Address - Fax:
Practice Address - Street 1:4305 S LEE ST STE 500
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-5785
Practice Address - Country:US
Practice Address - Phone:850-258-0732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-19
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9258101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health