Youth Enrichment Services of LKN, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

5153144 Issued in NC

Legal business name

YOUTH ENRICHMENT SERVICES OF LKN, INC.

Practice address

635 W McLelland Ave
Mooresville, NC 28115-3140

Phone

(704) 660-0973

Fax

(704) 663-6692

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jim Carr

Title

Ceo

Phone

(704) 660-0973

Specialties & licenses 1

Addresses

Tax ID family

Youth Enrichment Services of LKN Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Youth Enrichment Services of LKN, Inc

  • Professional Counselor
  • Mooresville, NC
  • NPI 1154622389
  NPD tax ID

Locations

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1497972319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 W MCLELLAND AVE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281153140",
            "telephone_number": "704-660-0973",
            "fax_number": "704-663-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 W MCLELLAND AVE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281153140",
            "telephone_number": "704-660-0973",
            "fax_number": "704-663-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH ENRICHMENT SERVICES OF LKN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-660-0973",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "5153144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Thomas Yawn, MSN, PMHNP-BC
• Kelli York, M.ED., CCC-SLP
• Melissa Clodfelter Young, IBCLC
• Wendi D Young, CRNA
• Youth Enrichment Services of LKN, Inc
• Daniel P Zagst, D.C.
• Serena Leigh Zagst, DC
• Francesca Zappasodi
• Carley Zarcone, COTA
• Lawrence Zbytek, COTA/L

• Community/Behavioral Health Agency in Mooresville, NC
• Providers in Mooresville, 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 Aug 22, 2007; 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.