Young, Gloria D

Young, Gloria D is an sole proprietor health care provider with primary practice located at Lifeline Recovery Center 2806 Morgan Lane, Paducah KY 42001. She recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as her primary health care specialty. Young, Gloria D can be contacted via phone (270) 443-4743.

Contact Information

Primary practice address
Lifeline Recovery Center 2806 Morgan Lane Paducah KY 42001
Phone: (270) 443-4743
Fax: (270) 443-4717
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1306909635
LBN Legal business name Young, Gloria D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2006
Last updated Aug 11th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306909635 NPPES
Kentucky Other KY-0491 CADC

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