MEDICARE: MS. YOLANDA M CORREA LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	959	NV

General Provider Information

NPI Number	:	1003018060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. YOLANDA M CORREA LMFT

Provider Business Mailing Address
First Line	:	7271 W CHARLESTON BLVD STE 180
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-1684
Country	:	US
Telephone Number	:	702-912-1053
Fax Number	:	702-912-0298

Provider Business Practice Location Address
First Line	:	7271 W CHARLESTON BLVD STE 180
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-1684
Country	:	US
Telephone Number	:	702-204-3922
Fax Number	:	702-912-0298

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2007
Last Update Date	:	01/04/2024

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