MEDICARE: STEPHANIE YONKERS

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	87096	TX
2	101YP2500X	Professional Counselor	87096	TX

General Provider Information

NPI Number	:	1639827868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE YONKERS

Provider Business Mailing Address
First Line	:	4622 BRIDGESTONE PATH DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77388-3547
Country	:	US
Telephone Number	:	832-547-3740
Fax Number	:

Provider Business Practice Location Address
First Line	:	4622 BRIDGESTONE PATH DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77388-3547
Country	:	US
Telephone Number	:	832-547-3740
Fax Number	:

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

Provider Enumeration Date	:	03/16/2022
Last Update Date	:	07/25/2024

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Directions to “ STEPHANIE YONKERS ” Practice Location

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