Provider Demographics
NPI:1710535224
Name:TUCKER, YOLANDA FAYE (MSW)
Entity Type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:FAYE
Last Name:TUCKER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:YOLANDA
Other - Middle Name:FAYE
Other - Last Name:WARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8800 49TH ST N STE 106
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33782-5332
Mailing Address - Country:US
Mailing Address - Phone:727-544-0044
Mailing Address - Fax:727-545-0125
Practice Address - Street 1:8800 49TH ST N STE 106
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33782-5332
Practice Address - Country:US
Practice Address - Phone:727-544-0044
Practice Address - Fax:727-545-0125
Is Sole Proprietor?:No
Enumeration Date:2019-08-28
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)