| Youth Innovations | |
|
1057 Thelma Ln Lancaster SC 29720-7015 | |
| (803) 577-6844 | |
| Not Available |
| Full Name | Youth Innovations |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1057 Thelma Ln, Lancaster, South Carolina |
| Authorized Official Name and Position | Cedric Alexander (OWNER) |
| Authorized Official Contact | 8035776844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Innovations 1057 Thelma Ln Lancaster SC 29720-7015 Ph: (803) 577-6844 | Youth Innovations 1057 Thelma Ln Lancaster SC 29720-7015 Ph: (803) 577-6844 |
| NPI Number | 1992104574 |
|---|---|
| Provider Enumeration Date | 08/19/2014 |
| Last Update Date | 08/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992104574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 9371 (South Carolina) | Primary |
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