1619852084 NPI number — MRS. YOLA PINETTE LMHC, CCATP CTMH, QS

Table of content: MRS. YOLA PINETTE LMHC, CCATP CTMH, QS (NPI 1619852084)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619852084 NPI number — MRS. YOLA PINETTE LMHC, CCATP CTMH, QS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PINETTE
Provider First Name:
YOLA
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LMHC, CCATP CTMH, QS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619852084
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/06/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4300 S JOG RD UNIT 540284
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREENACRES
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33454-5012
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-255-9634
Provider Business Mailing Address Fax Number:
--

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8450 LINDEN WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAKE WORTH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33467-6251
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-255-9634
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/06/2025

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: 101YM0800X , with the licence number:  MH13777 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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