| Amy E Young Llc | |
|
205 S Jefferson St Ste 5 Hastings MI 49058-1827 | |
| (616) 550-4354 | |
| Not Available |
| Full Name | Amy E Young Llc |
|---|---|
| Speciality | Social Worker |
| Location | 205 S Jefferson St Ste 5, Hastings, Michigan |
| Authorized Official Name and Position | Amy Elizabeth Young (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6165504354 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy E Young Llc 4587 S Shore Dr Delton MI 49046-8652 Ph: (616) 550-4354 | Amy E Young Llc 205 S Jefferson St Ste 5 Hastings MI 49058-1827 Ph: (616) 550-4354 |
| NPI Number | 1831716166 |
|---|---|
| Provider Enumeration Date | 07/02/2020 |
| Last Update Date | 07/02/2020 |
| Certification Date | 07/02/2020 |
| Medicare PECOS PAC ID | 9032538798 |
|---|---|
| Medicare Enrollment ID | O20200929002763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831716166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amy Elizabeth Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386051050 PECOS PAC ID: 3476849639 Enrollment ID: I20160914001689 |
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