Provider Demographics
NPI:1720666589
Name:BUTLER, YOLANDA DARCELL (MBA, DMIN)
Entity Type:Individual
Prefix:DR
First Name:YOLANDA
Middle Name:DARCELL
Last Name:BUTLER
Suffix:
Gender:F
Credentials:MBA, DMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2190 E 89TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-3473
Mailing Address - Country:US
Mailing Address - Phone:121-655-6304
Mailing Address - Fax:
Practice Address - Street 1:17325 EUCLID AVE STE 4012
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-1262
Practice Address - Country:US
Practice Address - Phone:216-556-3043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-31
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health