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NPI Code Detail

MEDICARE: THE ASPIRE YOUTH NETWORK LLC

MEDICARE: THE ASPIRE YOUTH NETWORK LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2171M00000XCase Manager/Care Coordinator
3172V00000XCommunity Health Worker
4251S00000XCommunity/Behavioral Health Agency
5252Y00000XEarly Intervention Provider Agency
6106S00000XBehavior Technician
7251B00000XCase Management Agency

General Provider Information

NPI Number : 1497625842
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE ASPIRE YOUTH NETWORK LLC
Provider Business Mailing Address
First Line : 2000 E LAMAR BLVD STE 600
Second Line :
City : ARLINGTON
State : TX
Zip : 76006-7361
Country : US
Telephone Number : 318-401-0535
Fax Number :
Provider Business Practice Location Address
First Line : 2000 E LAMAR BLVD STE 600
Second Line :
City : ARLINGTON
State : TX
Zip : 76006-7361
Country : US
Telephone Number : 318-401-0535
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DESTINY CLAYTON
Credential :
Telephone Number : 318-401-0535
Provider Enumeration Date : 11/10/2025
Last Update Date : 12/01/2025

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Directions to “THE ASPIRE YOUTH NETWORK LLC ” Practice Location

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