Healthcare Provider Details

I. General information

NPI: 1043432917
Provider Name (Legal Business Name): NELDA F YEE LPC, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 09/08/2021
Certification Date: 09/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5480 MCGINNIS VILLAGE PL STE 104
ALPHARETTA GA
30005-1746
US

IV. Provider business mailing address

5480 MCGINNIS VILLAGE PL
ALPHARETTA GA
30005-1746
US

V. Phone/Fax

Practice location:
  • Phone: 678-213-2194
  • Fax:
Mailing address:
  • Phone: 678-213-2194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number004939
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number001064
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: