Provider Demographics
NPI:1174108872
Name:MAYES, RANA YOLANDA (LMHC, LPC)
Entity type:Individual
Prefix:MS
First Name:RANA
Middle Name:YOLANDA
Last Name:MAYES
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:RANA
Other - Middle Name:YOLANDA
Other - Last Name:HUDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:22701 ANSLEY DR
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:AL
Mailing Address - Zip Code:35613-7181
Mailing Address - Country:US
Mailing Address - Phone:423-840-1412
Mailing Address - Fax:256-325-0469
Practice Address - Street 1:3776 SULLIVAN ST STE D
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-2344
Practice Address - Country:US
Practice Address - Phone:256-325-0467
Practice Address - Fax:256-325-0469
Is Sole Proprietor?:No
Enumeration Date:2021-03-14
Last Update Date:2024-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH22666101YM0800X
ALLPC05163101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH22666OtherLICENSED MENTAL HEALTH COUNSELOR
FL1206300500Medicaid
ALLPC05163OtherLICENSED PROFESSIONAL COUNSELOR