L Young 08 Ministries Inc.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

L YOUNG 08 MINISTRIES INC.

Practice address

607 Beauregard St
Monroe, LA 71202-2755

Phone

(318) 600-3093

Fax

(318) 600-3093

NPI assigned

Aug 21, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Lee Otis Young, LAC, CCS,CCC,CCGC

Title

Counselor

Phone

(318) 614-2075

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1538417647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 STANDIFER AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712025510",
            "telephone_number": "318-387-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 BEAUREGARD ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712022755",
            "telephone_number": "318-600-3093",
            "fax_number": "318-600-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L YOUNG 08 MINISTRIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "OTIS",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "318-614-2075",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC, CCS,CCC,CCGC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600760987",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Andrea Kynard, MD, NP
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• Addiction (Substance Use Disorder) Counselor in Monroe, LA
• Providers in Monroe, LA by specialty
• Addiction (Substance Use Disorder) Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.