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General NPI Number Information
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NPI Number | 1467199885
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Entity Type | Organization
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Legal Business Name | YOUNGMINDS PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 05/17/2022
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Last Update Date | 05/17/2022
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Provider Practice Location Address
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Address Line | 550 SE 6TH AVE # 200
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City | DELRAY BEACH
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State | FL
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Zip | 33483-5306
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Country | US
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Telephone | 561-450-9474
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Fax |
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Provider Business Mailing Address
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Address Line | 13029 ANTHORNE LN
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-2202
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Country | US
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Telephone | 954-692-4539
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAURYN YOUNG
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Credential | PHD
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Telephone | 954-692-4539
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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