Provider Demographics
NPI:1518781210
Name:LAYALLEE, YVETTE TRACEY (MS, LPCC)
Entity type:Individual
Prefix:MISS
First Name:YVETTE
Middle Name:TRACEY
Last Name:LAYALLEE
Suffix:
Gender:F
Credentials:MS, LPCC
Other - Prefix:
Other - First Name:YVETTE
Other - Middle Name:K
Other - Last Name:TRACEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, LPCC
Mailing Address - Street 1:550 EUSTIS ST
Mailing Address - Street 2:
Mailing Address - City:ST. PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104
Mailing Address - Country:US
Mailing Address - Phone:763-441-7691
Mailing Address - Fax:
Practice Address - Street 1:402 UNIVERSITY AVE
Practice Address - Street 2:STE A127
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55130
Practice Address - Country:US
Practice Address - Phone:651-266-7900
Practice Address - Fax:651-266-3522
Is Sole Proprietor?:No
Enumeration Date:2024-11-11
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN01408101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional