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General NPI Number Information
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NPI Number | 1942911201
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Entity Type | Organization
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Legal Business Name | JOSEPH YOUNG MANAGEMENT
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Dates
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Enumeration Date | 12/07/2022
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 146 BARRINGTON RD
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48302-0602
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Country | US
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Telephone | 947-257-2109
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Fax |
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Provider Business Mailing Address
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Address Line | 2050 SOUTH BLVD UNIT 24
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48303-7001
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Country | US
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Telephone | 248-895-0975
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LORINA WALKER
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Credential |
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Telephone | 947-257-2109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health 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 | 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 #4
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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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