| L Young 08 Ministries Inc. | |
|
607 Beauregard St Monroe LA 71202-2755 | |
| (318) 600-3093 | |
| (318) 600-3093 |
| Full Name | L Young 08 Ministries Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 607 Beauregard St, Monroe, Louisiana |
| Authorized Official Name and Position | Lee Otis Young (COUNSELOR) |
| Authorized Official Contact | 3186142075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| L Young 08 Ministries Inc. 1721 Standifer Ave Monroe LA 71202-5510 Ph: (318) 387-3128 | L Young 08 Ministries Inc. 607 Beauregard St Monroe LA 71202-2755 Ph: (318) 600-3093 |
| NPI Number | 1538417647 |
|---|---|
| Provider Enumeration Date | 08/21/2012 |
| Last Update Date | 08/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538417647 | NPI | - | NPPES |
| 600760987 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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