Provider Demographics
NPI:1851281588
Name:WHITTED, YOLANDA (LCMHCA)
Entity type:Individual
Prefix:MRS
First Name:YOLANDA
Middle Name:
Last Name:WHITTED
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1466
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-1466
Mailing Address - Country:US
Mailing Address - Phone:336-290-6835
Mailing Address - Fax:
Practice Address - Street 1:2142 BOYD CREEK DR
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:NC
Practice Address - Zip Code:27253-3522
Practice Address - Country:US
Practice Address - Phone:919-641-3989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-04
Last Update Date:2025-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA21590101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health