Provider Demographics
NPI:1306337514
Name:ZELLARS, YOLANDA N (CT)
Entity type:Individual
Prefix:MRS
First Name:YOLANDA
Middle Name:N
Last Name:ZELLARS
Suffix:
Gender:F
Credentials:CT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3964 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-2949
Mailing Address - Country:US
Mailing Address - Phone:614-252-2500
Mailing Address - Fax:614-252-4200
Practice Address - Street 1:3964 E MAIN ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-2949
Practice Address - Country:US
Practice Address - Phone:614-252-2500
Practice Address - Fax:614-252-4200
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-23
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1801017-TRNE101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor