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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