Provider Demographics
NPI:1720352123
Name:TILTON, YOLANDE MARIE (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:YOLANDE
Middle Name:MARIE
Last Name:TILTON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 CANAL ST.
Mailing Address - Street 2:320
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119
Mailing Address - Country:US
Mailing Address - Phone:504-483-1859
Mailing Address - Fax:504-483-7263
Practice Address - Street 1:3801 CANAL ST
Practice Address - Street 2:320
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-6082
Practice Address - Country:US
Practice Address - Phone:504-483-1859
Practice Address - Fax:504-483-7263
Is Sole Proprietor?:No
Enumeration Date:2012-03-02
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5239104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker