Provider Demographics
NPI:1285963736
Name:MILLER, YOLANDA ANNETTE (LPC, DCC, NCC, CAMS)
Entity type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:ANNETTE
Last Name:MILLER
Suffix:
Gender:F
Credentials:LPC, DCC, NCC, CAMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 SCENIC VIEW DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-3676
Mailing Address - Country:US
Mailing Address - Phone:404-944-0005
Mailing Address - Fax:
Practice Address - Street 1:328 SCENIC VIEW DR
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-3676
Practice Address - Country:US
Practice Address - Phone:404-944-0005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-11
Last Update Date:2017-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC006634101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health