Provider Demographics
NPI:1730555350
Name:SLATES, AAROLYN YAZMIN (LPC)
Entity type:Individual
Prefix:MRS
First Name:AAROLYN
Middle Name:YAZMIN
Last Name:SLATES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 POOLE BRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HIRAM
Mailing Address - State:GA
Mailing Address - Zip Code:30141-5839
Mailing Address - Country:US
Mailing Address - Phone:540-915-8877
Mailing Address - Fax:
Practice Address - Street 1:1301 STAPLETON DR
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-4668
Practice Address - Country:US
Practice Address - Phone:540-915-8877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-18
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC004569101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health