Provider Demographics
NPI:1932263647
Name:ZENTELLA, YOLY (PHD, LPCC)
Entity Type:Individual
Prefix:DR
First Name:YOLY
Middle Name:
Last Name:ZENTELLA
Suffix:
Gender:F
Credentials:PHD, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1551
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NM
Mailing Address - Zip Code:87701-1551
Mailing Address - Country:US
Mailing Address - Phone:505-718-5924
Mailing Address - Fax:
Practice Address - Street 1:605 NATIONAL AVE
Practice Address - Street 2:APT 2
Practice Address - City:LAS VEGAS
Practice Address - State:NM
Practice Address - Zip Code:87701-4277
Practice Address - Country:US
Practice Address - Phone:505-718-5924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0086021101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health