Healthcare Provider Details

I. General information

NPI: 1205747375
Provider Name (Legal Business Name): YOLSCIE STEPHANIE CORONA LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6991 E CAMELBACK RD STE D-300320
SCOTTSDALE AZ
85251-2432
US

IV. Provider business mailing address

4126 N 41ST PL
PHOENIX AZ
85018-4202
US

V. Phone/Fax

Practice location:
  • Phone: 215-789-0454
  • Fax:
Mailing address:
  • Phone: 602-451-4047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-25073
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: