Doctor Name: | MRS. PATRICIA MARIE YOUNGS |
NPI Number: | 1215088653 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | MH6685 |
Business Practice Address: | 1130 Ten Rod Rd A 102 North Kingstown, RI - 028524161 |
Business Phone Number: | 4912199400 |
Business Fax Number: | 4012670010 |
Mailing Address: | 9 Sprague St, GREENVILLE |
State: | RI |
Postal Code: | 028282112 |
Phone Number: | 4012199400 |
Fax Number: | 4012670105 |
NPI Enumeration Date: | 01/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH6685 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |