TAMORA ELLEN YOUNG LPC MAC NPI 1134294101

NPI Information

NPI: 1134294101
Provider Name: TAMORA ELLEN YOUNG, LPC MAC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
4396 LAWRENCEVILLE RD
SUITE 104
LOGANVILLE, GA
ZIP 30052
Phone: (678) 313-8784
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Tamora Ellen Young, LPC MAC is a professional counselor in Loganville, GA. Tamora Ellen Young, LPC MAC NPI is 1134294101. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4396 LAWRENCEVILLE RD
SUITE 104
LOGANVILLE, GA
ZIP 30052
Phone: (678) 313-8784
Fax: (770) 554-5584

The enumeration date for this NPI number is 11/22/2006 and was last updated on 7/8/2007.

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	101YP2500X	Counselor	Professional	LPC002129	GEORGIA	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

NPI Synchronization or Removal

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