Provider Demographics
NPI:1528759495
Name:YARTER, KRISTA NICOLE (LPC, ASOTP)
Entity type:Individual
Prefix:
First Name:KRISTA
Middle Name:NICOLE
Last Name:YARTER
Suffix:
Gender:F
Credentials:LPC, ASOTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4702 N LAURENT ST STE D
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77904-2158
Mailing Address - Country:US
Mailing Address - Phone:361-572-0202
Mailing Address - Fax:361-572-0300
Practice Address - Street 1:4702 N LAURENT ST STE D
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-2158
Practice Address - Country:US
Practice Address - Phone:832-675-1964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-19
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87324101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health