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General NPI Number Information
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NPI Number | 1679252027
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Entity Type | Individual
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Provider Name | DARRELL TARRELL YOUNGBLOOD PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 07/13/2023
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 305 GRETNA BLVD STE A
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City | GRETNA
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State | LA
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Zip | 70053-4995
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Country | US
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Telephone | 504-544-1061
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 MANHATTAN BLVD BLDG D
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City | HARVEY
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State | LA
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Zip | 70058-3583
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Country | US
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Telephone | 504-544-1061
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61661385
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 406045
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1143578
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10027568
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License Number State | OR
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 206593
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License Number State | LA
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 321232
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License Number State | AZ
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP030665
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License Number State | PA
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Taxonomy #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11027857
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 83048
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License Number State | NM
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Taxonomy #10
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN.0102818-C-NP
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License Number State | CO
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Taxonomy #11
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024189159
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License Number State | VA
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Taxonomy #12
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 4704435172
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License Number State | MI
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