Provider Demographics
NPI:1649712126
Name:YOST, PAULA J (ESQ, LPCA)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:J
Last Name:YOST
Suffix:
Gender:F
Credentials:ESQ, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5605 HIGHWAY 49
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:NC
Mailing Address - Zip Code:28124
Mailing Address - Country:US
Mailing Address - Phone:704-280-3624
Mailing Address - Fax:
Practice Address - Street 1:5605 HIGHWAY 49
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:NC
Practice Address - Zip Code:28124
Practice Address - Country:US
Practice Address - Phone:704-280-3624
Practice Address - Fax:704-436-2512
Is Sole Proprietor?:No
Enumeration Date:2016-11-15
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA12652101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional