Youthful Image Inc

LBN: Youthful Image Inc
Youthful Image Inc is an health care organization with primary practice located at 912 Ashe St , Greensboro NC 27406-1204. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Youthful Image Inc can be contacted via phone (336) 691-5748, or through Seagraves, Brian Lamont via phone (336) 209-5122.

Contact Information

Primary practice address
912 Ashe St Greensboro NC 27406-1204
Phone: (336) 691-5748
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Seagraves, Brian Lamont
Phone: (336) 209-5122

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 041746 North Carolina

Profile Details

NPI number 1457404709
LBN Legal business name Youthful Image Inc
DBA Doing business as
Authorized official Seagraves, Brian Lamont
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457404709 NPPES
North Carolina MEDICAID 6603915

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