1780294058 NPI number — YOLANDE EILEEN THOMAS CASE MANAGER

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780294058 NPI number — YOLANDE EILEEN THOMAS CASE MANAGER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
THOMAS
Provider First Name:
YOLANDE
Provider Middle Name:
EILEEN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CASE MANAGER
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
THOMAS
Provider Other First Name:
YOLANDE
Provider Other Middle Name:
E
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
CASE MANAGER
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1780294058
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/03/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13334 ARLINGFORD AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BATON ROUGE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70815-6489
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
253-330-9004
Provider Business Mailing Address Fax Number:
225-250-5879

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
ARRAY OF HOPE
Provider Second Line Business Practice Location Address:
11940 BRICKSOME AVE
Provider Business Practice Location Address City Name:
BATON ROUGE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70816
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
225-612-8656
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/03/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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