Provider Demographics
NPI:1790047264
Name:REEVES, YOLANDA RENEE (MA, MBA, BSW)
Entity Type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:RENEE
Last Name:REEVES
Suffix:
Gender:F
Credentials:MA, MBA, BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3445 W 71ST ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-2248
Mailing Address - Country:US
Mailing Address - Phone:317-346-4000
Mailing Address - Fax:317-346-0442
Practice Address - Street 1:55 1/2 E COURT ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-2303
Practice Address - Country:US
Practice Address - Phone:317-346-4000
Practice Address - Fax:317-346-0442
Is Sole Proprietor?:No
Enumeration Date:2012-06-11
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN87000158A101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)