MEDICARE: YOLANTA HOLNESS

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	A19765	NC

General Provider Information

NPI Number	:	1912479700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOLANTA HOLNESS

Provider Business Mailing Address
First Line	:	4397 FEDERAL DR
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27410-8116
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4397 FEDERAL DR
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27410-8116
Country	:	US
Telephone Number	:	336-496-2838
Fax Number	:

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

Provider Enumeration Date	:	12/18/2018
Last Update Date	:	05/16/2024

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Directions to “ YOLANTA HOLNESS ” Practice Location

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