# YOUNGBLOOD THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104625110
- **Authorized official:** STACY YOUNGBLOOD LMFT (OPERATOR/THERAPIST)
- **Authorized official phone:** (702) 241-7166

## Contact information

- **Practice address:** 2470 SAINT ROSE PKWY STE 302, HENDERSON, NV 89074-7776
- **Practice address phone:** (702) 241-7166
- **Mailing address:** 503 BROKEN SHALE CIR, HENDERSON, NV 89052-2890
- **Mailing address phone:** (702) 241-7166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/11/2025
- **Last updated:** 03/11/2025