Organization
KEIRA YOUNG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KEIRA YOUNG LPC (OWNER)
(678) 243-0263
Entity
Organization
Contact information
Practice address
3863 HIGHWAY 138 SE UNIT 312, STOCKBRIDGE, GA 30281-4143
(678) 243-0263
(877) 920-2137
Mailing address
3863 HIGHWAY 138 SE UNIT 312, STOCKBRIDGE, GA 30281-4143
(678) 243-0263
(877) 920-2137
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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