Keira Young LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KEIRA YOUNG LLC

Practice address

3863 Highway 138 SE Unit 312
Stockbridge, GA 30281-4143

Phone

(678) 243-0263

Fax

(877) 920-2137

NPI assigned

Jun 19, 2023

Last updated

Jun 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Keira Young, LPCNPI 1053943761

Title

Owner

Phone

(678) 243-0263

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keira Reva Young, APC NCC

  • Mental Health Counselor
  • McDonough, GA
  • NPI 1053943761
  NPD Authorized official

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1457036493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3863 HIGHWAY 138 SE UNIT 312",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814143",
            "telephone_number": "678-243-0263",
            "fax_number": "877-920-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3863 HIGHWAY 138 SE UNIT 312",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814143",
            "telephone_number": "678-243-0263",
            "fax_number": "877-920-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEIRA YOUNG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-17",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "KEIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-243-0263",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamad M Kassem, M.D.
• Jordan Katz, OD
• Lindsay Johnson Katz
• Clifford Lee Kauffman, M.D.
• Gurinderjit Kaur Sidhu, MD
• Kelko Nemt Inc
• Cynthia Leigh Kelley, PT
• Voncedric Kelley II
• Kelly Rich Family Medicine
• Monica Kelly

• Community/Behavioral Health Agency in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.