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General NPI Number Information
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NPI Number | 1841099108
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Entity Type | Organization
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Legal Business Name | YOUNG BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 881 E BRIDGEPORT PKWY
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City | GILBERT
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State | AZ
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Zip | 85295-6266
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Country | US
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Telephone | 480-535-3708
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Fax |
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Provider Business Mailing Address
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Address Line | 881 E BRIDGEPORT PKWY
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City | GILBERT
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State | AZ
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Zip | 85295-6266
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Country | US
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Telephone | 480-535-3708
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | ANDREA YOUNG
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Credential | LMSW
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Telephone | 602-295-2435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 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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