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General NPI Number Information
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NPI Number | 1679408868
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Entity Type | Organization
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Legal Business Name | YOUTH EMPOWERMENT ACADEMY INC
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Dates
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Enumeration Date | 06/17/2026
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Last Update Date | 06/17/2026
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Provider Practice Location Address
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Address Line | 3987 CLEVELAND ST
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City | GARY
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State | IN
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Zip | 46408-2476
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Country | US
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Telephone | 219-980-1044
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Fax |
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Provider Business Mailing Address
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Address Line | 3987 CLEVELAND ST
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City | GARY
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State | IN
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Zip | 46408-2476
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Country | US
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Telephone | 219-381-9024
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. SUSAN WOODS
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Credential | MSW
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Telephone | 219-381-9024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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