Provider Demographics
NPI:1881840148
Name:BATES, YOLANDA Y (LCSW)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:Y
Last Name:BATES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:YOLANDA
Other - Middle Name:Y
Other - Last Name:FORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:7980 MARTIN LOOP BLDG 9203
Mailing Address - Street 2:
Mailing Address - City:FORT BENNING
Mailing Address - State:GA
Mailing Address - Zip Code:31905-5629
Mailing Address - Country:US
Mailing Address - Phone:706-544-4610
Mailing Address - Fax:
Practice Address - Street 1:7980 MARTIN LOOP BLDG 9203
Practice Address - Street 2:
Practice Address - City:FORT BENNING
Practice Address - State:GA
Practice Address - Zip Code:31905-5629
Practice Address - Country:US
Practice Address - Phone:706-544-4610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-18
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2127C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical