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1093666927 NPI number — SAVANNA GRACE YOUNG P-LPC, NCC

NPI Number: 1093666927
Health Care Provider/Practitioner: SAVANNA GRACE YOUNG P-LPC, NCC

Information about “1093666927” NPI (SAVANNA GRACE YOUNG P-LPC, NCC) exists in 1093666927 in HTML format HTML  |  1093666927 in plain Text format TXT  |  1093666927 in PDF (Portable Document Format) PDF  |  1093666927 in an XML format XML  formats.

NPI Number : 1093666927 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093666927",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "YOUNG",
    "FirstName": "SAVANNA",
    "MiddleName": "GRACE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "P-LPC, NCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "YOUNG",
    "OtherFirstName": "GRACIE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "P-LPC, NCC",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "302 N JACKSON ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STARKVILLE",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "39759-2504",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "302 N JACKSON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STARKVILLE",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "39759-2504",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "662-323-9318",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/06/2026",
    "LastUpdateDate": "02/06/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "P-1443",
        "LicenseNumberStateCode": "MS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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