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NPI Code Detail

MEDICARE: YOUNG COUNSELING LLC

MEDICARE: YOUNG COUNSELING 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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1619865466
Entity Type Code : Organization
Provider Name (Legal Business Name) : YOUNG COUNSELING LLC
Provider Business Mailing Address
First Line : 2708 ARROWHEAD DR
Second Line :
City : RAPID CITY
State : SD
Zip : 57702-5209
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 522 7TH ST STE 202
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-2756
Country : US
Telephone Number : 605-416-9904
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. AMANDA YOUNG
Credential : MS, NCC, LAC
Telephone Number : 605-389-6444
Provider Enumeration Date : 06/27/2025
Last Update Date : 06/27/2025

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Directions to “YOUNG COUNSELING LLC ” Practice Location

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