Healthcare Provider Details

I. General information

NPI: 1376967596
Provider Name (Legal Business Name): BONNIE HASTINGS YOUNG-TURLEY M.ED., LPCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2014
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 E ARCH ST
MADISONVILLE KY
42431-2063
US

IV. Provider business mailing address

4600 MONTGOMERY RD STE 400
CINCINNATI OH
45212-2600
US

V. Phone/Fax

Practice location:
  • Phone: 270-245-2205
  • Fax:
Mailing address:
  • Phone: 833-510-4357
  • Fax: 866-460-2997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number251177
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: