Bernice Young in Peoria - Professional

Bernice Young - NPI 1750541280

Bernice Young is a Professional in Peoria, Illinois. Bernice Young practices all healthcare services and medical treatments related to Professional. The NPI Number for Bernice Young is 1750541280. The last update date is 2008-06-09.

Bernice Young's current location address is 530 Ne Glen Oak Ave, Peoria, Illinois. You can contact this provider via phone number 3096552000 and fax number 3096557869. The mailing address for Bernice Young is 530 Ne Glen Oak Ave, Peoria, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Bernice Young
Address 530 Ne Glen Oak Ave, Peoria, Illinois
Phone Number 3096552000
Fax Number 3096557869
Sole Proprietor N
Credentials LPC

NPI Number Detail

NPI Number 1750541280
Provider Enumeration Date 2008-06-09
Last Updated Date 2008-06-09

Provider Mailing Address Detail

Address 530 Ne Glen Oak Ave
City Peoria
State Illinois (IL)
Post Code 616370001
Phone Number 3096552000
Fax Number 3096557869

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No 178-003379
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

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FAQs about Bernice Young

What is the unique 10-digit identifier code assigned to Bernice Young by the Centers for Medicare & Medicaid Services?

The Bernice Young has been issued the NPI (National Provider Identifier) 1750541280 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Bernice Young?

The Bernice Young is situated at 530 Ne Glen Oak Ave, in the city of Peoria, state of IL, with the zip code 616370001.

What is Bernice Young's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Bernice Young's specialized field of practice is Professional, and the corresponding taxonomy code that categorizes this area of specialization is 101Yp2500X.

When did Bernice Young receive its 1750541280 assignment?

The Bernice Young was assigned its 1750541280 on 2008-06-09, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Bernice Young, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Bernice Young, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-09.

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