Provider Demographics
NPI:1851862973
Name:YELINEK, EVE MARIE (LPC)
Entity Type:Individual
Prefix:
First Name:EVE
Middle Name:MARIE
Last Name:YELINEK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4154 OLD WILLIAM PENN HWY FL 2
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-1942
Mailing Address - Country:US
Mailing Address - Phone:412-295-4345
Mailing Address - Fax:
Practice Address - Street 1:4154 OLD WILLIAM PENN HWY STE 300
Practice Address - Street 2:
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-1942
Practice Address - Country:US
Practice Address - Phone:412-295-4345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-16
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC010451101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional