Provider Demographics
NPI:1154786986
Name:YOKUM, HEATHER MICHELLE
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:MICHELLE
Last Name:YOKUM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 CYPRESS DR
Mailing Address - Street 2:
Mailing Address - City:DES ALLEMANDS
Mailing Address - State:LA
Mailing Address - Zip Code:70030-4620
Mailing Address - Country:US
Mailing Address - Phone:985-758-5621
Mailing Address - Fax:
Practice Address - Street 1:121 CYPRESS DR
Practice Address - Street 2:
Practice Address - City:DES ALLEMANDS
Practice Address - State:LA
Practice Address - Zip Code:70030-4620
Practice Address - Country:US
Practice Address - Phone:985-758-5621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-21
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 171M00000X
LA7586101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator