Gloria D Young

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Practice address

Lifeline Recovery Center
2806 Morgan Lane
Paducah, KY 42001

Phone

(270) 443-4743

Fax

(270) 443-4717

NPI assigned

Dec 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lifeline Recovery Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Paducah, KY
  • NPI 1013598317
  NPD
• Lifeline Recovery Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Kevil, KY
  • NPI 1912586389
  NPD

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1306909635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LIFELINE RECOVERY CENTER",
            "address_2": "PO BOX 7652",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420027652",
            "telephone_number": "270-443-4743",
            "fax_number": "270-443-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LIFELINE RECOVERY CENTER",
            "address_2": "2806 MORGAN LANE",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42001",
            "telephone_number": "270-443-4743",
            "fax_number": "270-443-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "GLORIA",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CADC",
            "identifier": "KY-0491",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Madison York, PT, DPT
• Allison Young, LPCA
• Bridget Young, MS, RDN, LD
• Emily Margaret Young I, P.T.
• Erica Young
• Kristi Michelle Young, LMHC
• Carson Youngblood, FNP-C
• Matthew John Zakutney
• Hailey Marie Ziegler, LCSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Paducah, KY
• Providers in Paducah, KY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.