Healthcare Provider Details

I. General information

NPI: 1912831389
Provider Name (Legal Business Name): YVONNE KAUNDA LMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 W BRISTOL ST
ELKHART IN
46514-3019
US

IV. Provider business mailing address

1841 DEKEVER DR
MISHAWAKA IN
46544-9191
US

V. Phone/Fax

Practice location:
  • Phone: 574-402-1400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number88003337A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: