Healthcare Provider Details

I. General information

NPI: 1336271394
Provider Name (Legal Business Name): YOLANDA MICHELLE SYKES MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 ELMA G MILES PKWY SUITE 106
HINESVILLE GA
31313-3230
US

IV. Provider business mailing address

316 NOTTINGHAM WAY
HINESVILLE GA
31313-4403
US

V. Phone/Fax

Practice location:
  • Phone: 888-207-3957
  • Fax:
Mailing address:
  • Phone: 912-980-4136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: