Young, Mark
Young, Mark is an sole proprietor health care provider with primary practice located at 650 Cr 4650 , Mt. Pleasant TX 75455. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Young, Mark can be contacted via phone (903) 918-5073.Contact Information
Primary practice address
650 Cr 4650
Mt. Pleasant TX 75455
Phone: (903) 918-5073
Fax: (903) 645-2532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 19201 | Texas |
Profile Details
| NPI number | 1275662645 |
|---|---|
| LBN Legal business name | Young, Mark |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 3rd, 2007 |
| Last updated | Jun 15th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275662645 | NPPES |
| Texas | MEDICAID | 1718785-01 | |
| Texas | Other | 289291 | |
| Texas | Other | 7089LC |
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