YOUTH VILLAGES NPI 1053540302

NPI Information

NPI: 1053540302
Provider Name: YOUTH VILLAGES
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2428 CHARLES BLVD
GREENVILLE, NC
ZIP 27858
Phone: (252) 215-5708
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YOUTH VILLAGES is a mental health counselor in Greenville, NC. YOUTH VILLAGES NPI is 1053540302. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2428 CHARLES BLVD
GREENVILLE, NC
ZIP 27858-924
Phone: (252) 215-5708

The provider's authorized official is Justen Jon Gross .
The authorized official title is Family Counselor and has the following contact phone number (216) 403-4177.

The enumeration date for this NPI number is 7/8/2009 and was last updated on 8/8/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	S. 0030847	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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