MS. BEVERLY ANN YOUNG


Address: 6162 E Mockingbird Ln, Suite 204, Dallas, TX 75214-2697
Phone: 2145378455

MS. BEVERLY ANN YOUNG (NPI# 1427180710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427180710
Entity Type Individual
Full Name MS. BEVERLY ANN YOUNG
Credential L.P.C.
Practice Address 6162 E Mockingbird Ln
Suite 204
Dallas
TX 75214-2697
Mailing Address 1920 Abrams Pkwy
#394
Dallas
TX 75214
Practice Telephone 2145378455
Mailing Telephone 2145378455
Mailing Fax Number 2148231134
Enumeration Date 2007-03-12
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
12232 TX Behavioral Health & Social Service Providers

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Office Location

Street Address 6162 E MOCKINGBIRD LN
SUITE 204
City DALLAS
State TX
Zip Code 75214-2697

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215926936 Nancy Lee Sonntag Social Worker 6162 E Mockingbird Ln, Ste. 215, Dallas, TX 75214-2697 2005-10-14
1265942056 Tanasha N Friar Massage Therapist 6162 E Mockingbird Ln, Dallas, TX 75214-2697 2017-10-05
1780045260 Lakewood Dermatology, Pllc Dermatology 6162 E Mockingbird Ln, Ste. 120, Dallas, TX 75214-2697 2016-03-11
1710231824 Davisson Consulting, Inc. Counselor 6162 E Mockingbird Ln, 220, Dallas, TX 75214-2697 2012-10-29
1023374519 Patrick Henry Mcdonough Dermatology 6162 E Mockingbird Ln, Suite 120, Dallas, TX 75214-2697 2012-04-09
1366735771 Omni Eeg Lab, Inc. Physiological Laboratory 6162 E Mockingbird Ln, Suite 210a, Dallas, TX 75214-2697 2011-05-17
1346454766 Edward A. Davisson Counselor 6162 E Mockingbird Ln, 220, Dallas, TX 75214-2697 2007-05-09
1447379821 Joe Reed Campbell Massage Therapist 6162 E Mockingbird Ln, Suite 205, Dallas, TX 75214-2697 2007-03-28
1194841940 Julien Porter Devereux Social Worker 6162 E Mockingbird Ln, Suite #215, Dallas, TX 75214-2697 2007-03-22

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City DALLAS
Zip Code 75214

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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