Myrna Borbon Young in Fayetteville - Mental Health
Myrna Borbon Young - NPI 1487693891
Myrna Borbon Young is a Mental Health in Fayetteville, Arkansas. Myrna Borbon Young practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Myrna Borbon Young is 1487693891. The last update date is 2018-05-29.
Myrna Borbon Young's current location address is 130 E Poplar St Ste C&d, Fayetteville, Arkansas. You can contact this provider via phone number 4794356047 and fax number 4797553595. The mailing address for Myrna Borbon Young is 130 E Poplar St Ste C&d, Fayetteville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Myrna Borbon Young |
|---|---|
| Address | 130 E Poplar St Ste C&d, Fayetteville, Arkansas |
| Phone Number | 4794356047 |
| Fax Number | 4797553595 |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1487693891 |
|---|---|
| Provider Enumeration Date | 2006-06-05 |
| Last Updated Date | 2018-05-29 |
Provider Mailing Address Detail
| Address | 130 E Poplar St Ste C&d |
|---|---|
| City | Fayetteville |
| State | Arkansas (AR) |
| Post Code | 727032532 |
| Phone Number | 4794356047 |
| Fax Number | 4797553595 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | A0507049 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 207210719 | AR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Myrna Borbon Young by the Centers for Medicare & Medicaid Services?
The Myrna Borbon Young has been issued the NPI (National Provider Identifier) 1487693891, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Myrna Borbon Young is physically located?
The Myrna Borbon Young is situated at the following address: 130 E Poplar St Ste C&D, Fayetteville, AR 727032532.
What is Myrna Borbon Young's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Myrna Borbon Young is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.
On what date did Myrna Borbon Young receive its 1487693891 assignment from the Centers for Medicare & Medicaid Services?
The Myrna Borbon Young was assigned its 1487693891 on 2006-06-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Myrna Borbon Young, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Myrna Borbon Young, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-05-29.
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