Healthcare Provider Details

I. General information

NPI: 1841099108
Provider Name (Legal Business Name): YOUNG BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

881 E BRIDGEPORT PKWY
GILBERT AZ
85295-6266
US

IV. Provider business mailing address

881 E BRIDGEPORT PKWY
GILBERT AZ
85295-6266
US

V. Phone/Fax

Practice location:
  • Phone: 480-535-3708
  • Fax:
Mailing address:
  • Phone: 480-535-3708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANDREA YOUNG
Title or Position: OWNER/OPERATOR
Credential: LMSW
Phone: 602-295-2435