YOUTH SUBSTANCE ABUSE COALITION NPI 1194452946

NPI Information

  • NPI: 1194452946
  • Provider Name: YOUTH SUBSTANCE ABUSE COALITION
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Doing Business As: EPIC
  • Address: 210 N SPRIGG ST
    CAPE GIRARDEAU, MO
    ZIP 63701
  • Phone: (573) 578-1921

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NPI Details

YOUTH SUBSTANCE ABUSE COALITION is a mental health counselor in Cape Girardeau, MO. YOUTH SUBSTANCE ABUSE COALITION NPI is 1194452946. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Epic.

The provider's business location address is:

210 N SPRIGG ST
CAPE GIRARDEAU, MO
ZIP 63701-530
Phone: (573) 578-1921

The provider's authorized official is Elizabeth Derickson .
The authorized official title is Therapist and has the following contact phone number (573) 587-1921.

The enumeration date for this NPI number is 8/2/2022 and was last updated on 8/3/2022.

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
11041C0700XSocial WorkerClinicalNo
2101YM0800XCounselorMental HealthYes

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: 11/21/2025

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