Organization
YOUNGBLOOD THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY YOUNGBLOOD LMFT (OPERATOR/THERAPIST)
(702) 241-7166
Entity
Organization
Contact information
Practice address
2470 SAINT ROSE PKWY STE 302, HENDERSON, NV 89074-7776
(702) 241-7166
Mailing address
503 BROKEN SHALE CIR, HENDERSON, NV 89052-2890
(702) 241-7166
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942554076
—
NV
Enumeration date
03/11/2025
Last updated
03/11/2025
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