Kalencia Denise Young, PSYD, MTH

Individual provider Active NPI Marriage & Family Therapist · West Monroe, LA

NPI 1669119293 · NPPES record last updated May 16, 2022

Key facts

NPI
1669119293
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
KY860081 (LA)
Practice address
303 W Heights Dr
West Monroe, LA 71292-6335
Phone
(318) 512-0169
NPI assigned
May 16, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Theology

State licenses

LicenseStateTypeSpecialty
KY860081LAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X KY860081 LA Yes

Addresses

Primary practice location

303 W Heights Dr
West Monroe, LA 71292-6335

Mailing address

303 W Heights Dr
West Monroe, LA 71292-6335
Phone (318) 512-0169

Other providers in West Monroe, LA

All providers in West Monroe, LA · Marriage & Family Therapist in Louisiana

Sources for this page

Verify at the official NPI Registry.