MEDICARE: YOLANDA DENISE JONES

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	101YM0800X	Mental Health Counselor	13499	NC

General Provider Information

NPI Number	:	1568043933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOLANDA DENISE JONES

Provider Business Mailing Address
First Line	:	1000 JEFFERSON ST STE 2C
Second Line	:
City	:	LYNCHBURG
State	:	VA
Zip	:	24504-1724
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 HIGHWOODS BLVD STE 1000
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27604-1027
Country	:	US
Telephone Number	:	919-338-5227
Fax Number	:

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

Provider Enumeration Date	:	04/18/2021
Last Update Date	:	04/18/2021

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