Healthcare Provider Details

I. General information

NPI: 1194670018
Provider Name (Legal Business Name): YOLANDA PATRICE BROWN-CLARK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2026
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1980 ALLSTON WAY
BERKELEY CA
94704-1463
US

IV. Provider business mailing address

2020 BONAR ST
BERKELEY CA
94702-1793
US

V. Phone/Fax

Practice location:
  • Phone: 510-644-4565
  • Fax:
Mailing address:
  • Phone: 510-644-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: