Young Psychiatry Llc | |
285 N Alley Ave Mammoth Spring AR 72554-8149 | |
(870) 907-1060 | |
(870) 907-0707 |
Full Name | Young Psychiatry Llc |
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Speciality | Clinic/Center |
Location | 285 N Alley Ave, Mammoth Spring, Arkansas |
Authorized Official Name and Position | Laura Collette Young (CEO/PRESCRIBER) |
Authorized Official Contact | 8709071060 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Young Psychiatry Llc Po Box 152 Basehor KS 66007-0152 Ph: (870) 907-1060 | Young Psychiatry Llc 285 N Alley Ave Mammoth Spring AR 72554-8149 Ph: (870) 907-1060 |
NPI Number | 1336872381 |
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Provider Enumeration Date | 07/07/2022 |
Last Update Date | 10/06/2024 |
Certification Date | 10/06/2024 |
Medicare PECOS PAC ID | 6002291275 |
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Medicare Enrollment ID | O20220923003002 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336872381 | NPI | - | NPPES |
Provider Name | Laura Young |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689349243 PECOS PAC ID: 7810372083 Enrollment ID: I20220923003007 |
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