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General NPI Number Information
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NPI Number | 1841357894
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Entity Type | Organization
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Legal Business Name | YOUTH AND SHELTER SERVICES, INC.
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 06/05/2023
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Provider Practice Location Address
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Address Line | 420 KELLOGG AVE
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City | AMES
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State | IA
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Zip | 50010-6226
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Country | US
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Telephone | 515-233-3141
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1628
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City | AMES
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State | IA
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Zip | 50010-1628
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BEHAVIORAL HEALTHCARE MANAGER
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Name | JILL HILL
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Credential |
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Telephone | 515-233-2250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | IA
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Taxonomy #2
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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 | IA
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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 | IA
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | IA
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Taxonomy #5
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State | IA
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Taxonomy #6
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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 | IA
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