Provider Demographics
NPI:1740747708
Name:GIVENS, YOULANDA DENISE (LMHC, CMHS, NCC)
Entity Type:Individual
Prefix:
First Name:YOULANDA
Middle Name:DENISE
Last Name:GIVENS
Suffix:
Gender:F
Credentials:LMHC, CMHS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3351 S 175TH ST APT 409
Mailing Address - Street 2:
Mailing Address - City:SEATAC
Mailing Address - State:WA
Mailing Address - Zip Code:98188-4411
Mailing Address - Country:US
Mailing Address - Phone:206-818-1888
Mailing Address - Fax:
Practice Address - Street 1:3351 S 175TH ST APT 409
Practice Address - Street 2:
Practice Address - City:SEATAC
Practice Address - State:WA
Practice Address - Zip Code:98188-4411
Practice Address - Country:US
Practice Address - Phone:206-818-1888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-26
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60414103101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health