MEDICARE: YOLANDA CLAIBORNE

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		NC

General Provider Information

NPI Number	:	1588591911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOLANDA CLAIBORNE

Provider Business Mailing Address
First Line	:	7807 WATERFORD LAKES DR APT 2811
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28210-7472
Country	:	US
Telephone Number	:	704-968-0775
Fax Number	:

Provider Business Practice Location Address
First Line	:	7807 WATERFORD LAKES DR APT 2811
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28210-7472
Country	:	US
Telephone Number	:	704-968-0775
Fax Number	:

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

Provider Enumeration Date	:	05/07/2026
Last Update Date	:	05/07/2026

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Directions to “ YOLANDA CLAIBORNE ” Practice Location

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