# PHARAOH MIND

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pharaoh Mind
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568265221
- **Authorized official:** DARRELL YOUNGBLOOD PMHNP-BC (PSYCHIATRIC NP)
- **Authorized official phone:** (504) 544-1061

## Contact information

- **Practice address:** 165 N VILLAGE AVE STE 12, ROCKVILLE CENTRE, NY 11570-3701
- **Practice address phone:** (504) 544-1061
- **Mailing address:** 750 W DIMOND BLVD STE 103NO239, ANCHORAGE, AK 99515-1515
- **Mailing address phone:** (504) 544-1061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/28/2025
- **Last updated:** 03/28/2025