Healthcare Provider Details

I. General information

NPI: 1316288640
Provider Name (Legal Business Name): LEDORA M YERKS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2013
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 LAFAYETTE ST STE 118
GRETNA LA
70053-5732
US

IV. Provider business mailing address

1500 LAFAYETTE ST STE 118
GRETNA LA
70053-5732
US

V. Phone/Fax

Practice location:
  • Phone: 504-332-0680
  • Fax: 800-392-3159
Mailing address:
  • Phone: 504-332-0680
  • Fax: 800-392-3159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number5468
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number5468
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: