Young Life Wellness

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

YOUNG LIFE WELLNESS

Practice address

191 13 Colonies LN
Flint, MI 48507-5908

Phone

(810) 428-7477

NPI assigned

Nov 20, 2024

Organization subpart

No

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

Authorized official

Name

Kristin M Blevins, LMSW, CAADC, CCSNPI 1396117156

Title

Ceo

Phone

(810) 428-7477

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristin Marie Blevins, LMSW

  • Clinical Social Worker
  • Flint, MI
  • NPI 1396117156
  NPD Authorized official

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1417772831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S LINDEN RD UNIT 320126",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485327007",
            "telephone_number": "248-702-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 13 COLONIES LN",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485075908",
            "telephone_number": "810-428-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG LIFE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "BLEVINS",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "810-428-7477",
        "authorized_official_credential": "LMSW, CAADC, CCS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela O Yocom
• Devyn York
• Shawn A York, DDS
• Amy Yorke, PT, PHD, NCS
• You Overcoming Lactation Obstacles
• Dominique Young-Fomby
• Andrea Leigh Young, PA-C
• Carol Young, LMSW
• Edward Young
• Katelyn Young

• Clinical Social Worker in Flint, MI
• Providers in Flint, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.