Healthcare Provider Details

I. General information

NPI: 1093303828
Provider Name (Legal Business Name): ORONDE HAMANI YERO MS, LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2021
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4675 MERCER RD
STONE MOUNTAIN GA
30083-5533
US

IV. Provider business mailing address

4675 MERCER RD
STONE MOUNTAIN GA
30083-5533
US

V. Phone/Fax

Practice location:
  • Phone: 678-887-0495
  • Fax:
Mailing address:
  • Phone: 678-887-0495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC011331
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: