Provider Demographics
NPI:1174229611
Name:GREENFIELD, YOLONDA CM (LPCA)
Entity type:Individual
Prefix:
First Name:YOLONDA
Middle Name:CM
Last Name:GREENFIELD
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 N 41ST ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40212-2601
Mailing Address - Country:US
Mailing Address - Phone:502-822-6621
Mailing Address - Fax:
Practice Address - Street 1:3155 COMMERCE CENTER PL
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40211-1975
Practice Address - Country:US
Practice Address - Phone:502-822-3773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY269856101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health