YOUTH CARE CENTER INCORPORATED (NPI# 1669970331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669970331 |
| Entity Type | Organization |
| Organization Name | YOUTH CARE CENTER INCORPORATED |
| Practice Address |
1504 S Salisbury Blvd Ste 22 Salisbury MD 21801-7165 |
| Mailing Address |
3917 Market St Snow Hill MD 21863-4413 |
| Practice Telephone | 4439142922 |
| Mailing Telephone | 4439142922 |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | SHAWN JOHNSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4439441118 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MD | Behavioral Health & Social Service Providers | |
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 1952823957 | 05 | |
| MD | 1164806808 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912542473 | Youth Care Center Incorporated | Counselor | 200 E Main St Ste B, Salisbury, MD 21801-5139 | 2019-11-08 |
| Street Address |
1504 S SALISBURY BLVD STE 22 |
| City | SALISBURY |
| State | MD |
| Zip Code | 21801-7165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487263760 | Patricia Ann Nativio | Specialist/Technologist | University of Maryland University Eastern Shore, William P Hytche Athletic Center, Princess Anne, MD 21801 | 2020-07-23 |
| 1710516315 | Launa Duffy | Counselor | 1300 East Carroll St, Salisbury, MD 21801 | 2020-04-06 |
| 1275161960 | Zion Wellness Center | Psychiatry & Neurology | 2324 West Zion Road Unit 110, Salisbury, MD 21801 | 2020-03-30 |
| 1508404997 | Pridgett Harmon | Counselor | 2324 West Zion Road, Suite 112, Salisbury Md, MD 21801 | 2019-12-16 |
| 1821646324 | Diane Palmer | Counselor | 2324 West Zion Rd., Suit 112, Salisbury, MD 21801 | 2019-08-28 |
| 1558923672 | Oc Wellness LLC | Nurse Practitioner | 1410 S Salisbury Blvd Unit 1, Salisbury, MD 21801 | 2019-06-28 |
| 1033686670 | Megan Insley | Speech-Language Pathologist | 1213 Emeron Ave, Salisbury, MD 21801 | 2018-11-01 |
| 1811462831 | Kailyn Asbury | Registered Nurse | 100 E. Carroll St., Prmc Dept of Physical Medicine, Salisbury, MD 21801 | 2018-10-05 |
| 1750866380 | Marc Levin Mcdonald | Physical Therapist | 2420 North Salisbury Blvd Unit 5, Salisbury, MD 21801 | 2018-09-28 |
| 1891277695 | Lindsay Britt Stallings | Counselor | 116 West Main St. Suite 204, Salisbury, MD 21801 | 2018-08-29 |
| Find all providers in zip 21801 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803038 | Ellis Butler, Ph.d., LLC | Counselor | 507 W Innes St Ste 270, Salisbury, NC 28144-4265 | 2020-08-26 |
| 1639716103 | Stefanie Danita White | Counselor | 1504 Jake Alexander Blvd W, Salisbury, NC 28147-1213 | 2019-12-04 |
| 1821646324 | Diane Palmer | Counselor | 2324 West Zion Rd., Suit 112, Salisbury, MD 21801 | 2019-08-28 |
| 1578125340 | Lifes Energy Wellness Center Inc. | Counselor | 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 | 2019-07-02 |
| 1134683238 | Amelia Carmel Hasty-rhodes | Counselor | 303 Saint Johns Dr, Salisbury, NC 28144-9014 | 2019-01-23 |
| 1588142350 | Tabitha Payne | Counselor | 540 Riverside Dr Ste 7, Salisbury, MD 21801-5352 | 2018-08-02 |
| 1881181774 | Aushae Deshields | Counselor | 8182 Brown Rd, Salisbury, MD 21804-2206 | 2018-04-17 |
| 1275038945 | Lisa L Eimer | Counselor | 1980 Earnhardt Rd, Salisbury, NC 28146-2277 | 2018-03-26 |
| 1356875256 | Judith Arnold | Counselor | 130 E Main St Fl 3, Salisbury, MD 21801-5036 | 2017-04-18 |
| 1255719209 | Katherine Odea | Counselor | 645 Decatur Ave, Salisbury, MD 21804-3870 | 2015-05-11 |
| Find all providers in SALISBURY | ||||
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| 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.