Provider Demographics
NPI:1801049044
Name:TALLENT, YVONNE WILBANKS (LCSW)
Entity type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:WILBANKS
Last Name:TALLENT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:10330 LAKE RD
Mailing Address - Street 2:BLDG. E
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-1695
Mailing Address - Country:US
Mailing Address - Phone:281-813-9513
Mailing Address - Fax:832-717-5965
Practice Address - Street 1:10330 LAKE RD
Practice Address - Street 2:BLDG. E
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-1695
Practice Address - Country:US
Practice Address - Phone:281-813-9513
Practice Address - Fax:832-717-5965
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-31
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX254431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical