Provider Demographics
NPI:1447686258
Name:JERKINS, YOLANDA KAY (LPC)
Entity type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:KAY
Last Name:JERKINS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2479 WOODHILL LN
Mailing Address - Street 2:
Mailing Address - City:EAST POINT
Mailing Address - State:GA
Mailing Address - Zip Code:30344-2034
Mailing Address - Country:US
Mailing Address - Phone:404-564-6800
Mailing Address - Fax:404-564-0377
Practice Address - Street 1:2479 WOODHILL LN
Practice Address - Street 2:
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344-2034
Practice Address - Country:US
Practice Address - Phone:404-564-6800
Practice Address - Fax:404-564-0377
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-25
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007216101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional