MEDICARE: YOU FIRST THERAPEUTIC SERVICES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	7160	NC
2	101YP2500X	Professional Counselor	7160	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558809004
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOU FIRST THERAPEUTIC SERVICES PLLC

Provider Business Mailing Address
First Line	:	7005 WALLACE RD STE 200
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28212-6886
Country	:	US
Telephone Number	:	704-840-2848
Fax Number	:

Provider Business Practice Location Address
First Line	:	7005 WALLACE RD STE 200
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28212-6886
Country	:	US
Telephone Number	:	704-840-2848
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. SIMONE SERVICES REEVES
Credential	:	MA,LPCS
Telephone Number	:	704-840-2848

Provider Enumeration Date	:	02/05/2017
Last Update Date	:	03/13/2017

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Directions to “YOU FIRST THERAPEUTIC SERVICES PLLC ” Practice Location

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