Healthcare Provider Details

I. General information

NPI: 1841062346
Provider Name (Legal Business Name): EMILI YOUNKIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2023
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 BETHEL CHURCH RD
PROSPERITY PA
15329-1243
US

IV. Provider business mailing address

680 BETHEL CHURCH RD
PROSPERITY PA
15329-1243
US

V. Phone/Fax

Practice location:
  • Phone: 724-963-5063
  • Fax:
Mailing address:
  • Phone: 724-963-5063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW028019
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: