STACY YOUNGBLOOD (NPI# 1942554076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942554076 |
Entity Type | Individual |
Full Name | STACY YOUNGBLOOD |
Credential | M.S. |
Practice Address |
503 Broken Shale Cir Henderson NV 89052-2890 |
Practice Telephone | 7022417166 |
Enumeration Date | 2012-10-26 |
Last Update Date | 2012-10-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | MI0358 | NV | Behavioral Health & Social Service Providers |
N | 101YM0800X |
Counselor Specialization: Mental Health |
MI0358 | NV | Behavioral Health & Social Service Providers |
Y | 106H00000X | Marriage & Family Therapist | MI0358 | NV | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972099539 | Stacy Leann Youngblood | Occupational Therapy Assistant | 1323 County Road 202, Carthage, TX 75633-6753 | 2018-07-06 |
Street Address |
503 BROKEN SHALE CIR |
City | HENDERSON |
State | NV |
Zip Code | 89052-2890 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
Find all providers in zip 89052 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659993533 | Sydney Denton Erskine | Marriage & Family Therapist | 2336 Rosendale Village Ave, Henderson, NV 89052-8731 | 2020-05-13 |
1669001558 | Kaitlin Andrewjeski | Marriage & Family Therapist | 2298 W Horizon Ridge Pkwy Ste 201a, Henderson, NV 89052-2698 | 2020-04-03 |
1205460193 | Aubrey Wadman-goetsch | Marriage & Family Therapist | 2518 Anthem Village Dr Ste 103, Henderson, NV 89052-5554 | 2020-02-28 |
1699236190 | Samantha Margaret Bloom | Marriage & Family Therapist | 2920 N Green Valley Pkwy Ste 321, Henderson, NV 89014-0412 | 2019-03-27 |
1417417809 | Brynda Jena Cullison | Marriage & Family Therapist | 2501 N Green Valley Pkwy Bldg D, Henderson, NV 89014-0273 | 2019-03-21 |
1255896106 | Angel R Alonso | Marriage & Family Therapist | 2920 N Green Valley Pkwy Bldg 3-321, Henderson, NV 89014-0406 | 2019-02-05 |
1659840163 | Tamara James | Marriage & Family Therapist | 210 3rd St Ste 2, Henderson, KY 42420-2904 | 2018-11-14 |
1487121695 | Alexis Florence | Marriage & Family Therapist | 3041 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052-4444 | 2018-10-25 |
1235625500 | Timothy M Hubbard | Marriage & Family Therapist | 2501 N Green Valley Pkwy Ste 116118, Henderson, NV 89014-0273 | 2018-07-10 |
1700323896 | Cherelle Ola | Marriage & Family Therapist | 2824 Via Terra St, Henderson, NV 89074-1446 | 2017-01-26 |
Find all providers in HENDERSON |
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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.