MEDICARE: YOLANDA ISELA BOARD LPCC-S

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	101YP2500X	Professional Counselor	E.1800923-SUPV	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033651658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOLANDA ISELA BOARD LPCC-S

Provider Business Mailing Address
First Line	:	600 WHITE OAK DR
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45504-4129
Country	:	US
Telephone Number	:	937-728-9787
Fax Number	:

Provider Business Practice Location Address
First Line	:	1948 N LIMESTONE ST
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45503-2648
Country	:	US
Telephone Number	:	866-534-2639
Fax Number	:	800-480-7578

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

Provider Enumeration Date	:	11/14/2016
Last Update Date	:	07/31/2025

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