Provider Demographics
NPI:1518137496
Name:YARRANTON, PATRICIA A (LMHC CAP)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:A
Last Name:YARRANTON
Suffix:
Gender:F
Credentials:LMHC CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4161 52ND AVE S
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33711-4735
Mailing Address - Country:US
Mailing Address - Phone:941-321-6214
Mailing Address - Fax:
Practice Address - Street 1:4161 52ND AVE S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33711-4735
Practice Address - Country:US
Practice Address - Phone:941-321-6214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-06
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8224101YM0800X, 101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor