Provider Demographics
NPI:1811407877
Name:YANDELL, ULLA (LCSW)
Entity Type:Individual
Prefix:
First Name:ULLA
Middle Name:
Last Name:YANDELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:GERALYN
Other - Middle Name:ANN
Other - Last Name:YANDELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8777 W MAULE AVE UNIT 1144
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-4875
Mailing Address - Country:US
Mailing Address - Phone:775-560-9623
Mailing Address - Fax:866-348-2644
Practice Address - Street 1:8777 W MAULE AVE UNIT 1144
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-4875
Practice Address - Country:US
Practice Address - Phone:775-560-9623
Practice Address - Fax:866-348-2644
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-04
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7594-C101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health