Provider Demographics
NPI:1306641394
Name:YEATS, JAMIE RACHELLE (MS, PLPC)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:RACHELLE
Last Name:YEATS
Suffix:
Gender:F
Credentials:MS, PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 CHANTILLY CIR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-5374
Mailing Address - Country:US
Mailing Address - Phone:337-250-0463
Mailing Address - Fax:
Practice Address - Street 1:803 COOLIDGE BLVD STE 140
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2354
Practice Address - Country:US
Practice Address - Phone:337-366-0455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC10012101YM0800X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health