Provider Demographics
NPI:1467475194
Name:SEALS-STEWART, YOLANDA (LPC)
Entity type:Individual
Prefix:MRS
First Name:YOLANDA
Middle Name:
Last Name:SEALS-STEWART
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 1:2001 DUNCAN DR NW UNIT 592
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30156-0200
Mailing Address - Country:US
Mailing Address - Phone:504-650-6348
Mailing Address - Fax:
Practice Address - Street 1:235 S SAN PEDRO ST APT 235
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90012-3962
Practice Address - Country:US
Practice Address - Phone:323-250-4754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17207101YP2500X
GALPC004527101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional