Provider Demographics
NPI:1700919156
Name:HARRIS, YOLANDA JOCELYN (LPC)
Entity Type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:JOCELYN
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:YOLANDA
Other - Middle Name:JOCELYN
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:19617 LOMOND BLVD
Mailing Address - Street 2:
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5127
Mailing Address - Country:US
Mailing Address - Phone:216-778-0908
Mailing Address - Fax:
Practice Address - Street 1:4517 RENAISSANCE PKWY
Practice Address - Street 2:
Practice Address - City:WARRENSVILLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44128-5701
Practice Address - Country:US
Practice Address - Phone:216-360-9343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS0024157104100000X
OHC.2204096101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No104100000XBehavioral Health & Social Service ProvidersSocial Worker