Provider Demographics
NPI:1780294058
Name:THOMAS, YOLANDE EILEEN (CASE MANAGER)
Entity type:Individual
Prefix:
First Name:YOLANDE
Middle Name:EILEEN
Last Name:THOMAS
Suffix:
Gender:F
Credentials:CASE MANAGER
Other - Prefix:
Other - First Name:YOLANDE
Other - Middle Name:E
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CASE MANAGER
Mailing Address - Street 1:13334 ARLINGFORD AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70815-6489
Mailing Address - Country:US
Mailing Address - Phone:253-330-9004
Mailing Address - Fax:225-250-5879
Practice Address - Street 1:ARRAY OF HOPE
Practice Address - Street 2:11940 BRICKSOME AVE
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816
Practice Address - Country:US
Practice Address - Phone:225-612-8656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-03
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty