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Organization
MENTAL HEALTH AND WELLNESS ON MAIN
Active
Organization
MENTAL HEALTH AND WELLNESS ON MAIN
Active
Other names
Young Psychiatry LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA COLLETTE YOUNG PMHNP-BC, APRN (CEO/PRESCRIBER)
(870) 907-1060
Entity
Organization
Contact information
Practice address
285 N ALLEY AVE, MAMMOTH SPRING, AR 72554-8149
(870) 907-1060
(870) 907-0707
Mailing address
PO BOX 152, BASEHOR, KS 66007-0152
(870) 907-1060
(870) 907-0707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/07/2022
Last updated
02/05/2025
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