T & a Young L.L.C

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

T & A YOUNG L.L.C

Doing business as

Young's Behavioral Therapy

Practice address

4707 Jelynn St
Raleigh, NC 27616-7402

Phone

(910) 261-9021

NPI assigned

Nov 16, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Tavarus Dewayne Young

Title

Member/Owner

Phone

(910) 261-9021

Specialties & licenses 1

Addresses

Other names 1

• Young's Behavioral Therapy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1245531656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 JELYNN ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276167402",
            "telephone_number": "910-261-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 JELYNN ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276167402",
            "telephone_number": "910-261-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T & A YOUNG L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "TAVARUS",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "910-261-9021",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Young's Behavioral Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaitlin Sznajder
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• Kimberly Poots Szwed, FNP
• T & L Transportation Services, LLC
• T & T Technology, Inc.
• T Edwards and Associates, PLLC
• T.C.C. Group Incorporated
• T.D. James Enterprises, LLC

• Community/Behavioral Health Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.