Provider Demographics
NPI:1710669205
Name:ESTRADA, YUMAIKA (MED, LPCA)
Entity Type:Individual
Prefix:
First Name:YUMAIKA
Middle Name:
Last Name:ESTRADA
Suffix:
Gender:F
Credentials:MED, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1939 GOLDSMITH LN STE 247
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40218-3174
Mailing Address - Country:US
Mailing Address - Phone:502-208-1631
Mailing Address - Fax:
Practice Address - Street 1:1939 GOLDSMITH LN STE 249
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40218-3184
Practice Address - Country:US
Practice Address - Phone:502-208-1631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional