RENEE PAULINE YOUNG (NPI# 1396095501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396095501 |
| Entity Type | Individual |
| Full Name | RENEE PAULINE YOUNG |
| Practice Address |
222 E Grand Ave Ste 300 Ponca City OK 74601-4316 |
| Mailing Address |
2412 Donner Ave Ponca City OK 74604-2811 |
| Practice Telephone | 4059390559 |
| Practice Fax Number | 5809169538 |
| Mailing Telephone | 5803042069 |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2018-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1136 | OK | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 N 6th St, Ponca City, OK 746012827 | 5807627561 | 5807622576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962684134 | Renee L Young | Naturopath | 751 Blossom Hill Rd Ste B2, Los Gatos, CA 95032-3583 | 2007-11-29 |
| 1245701671 | Renee Ann Young | Social Worker | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2018-12-11 |
| 1831634070 | Renee Young | Pharmacist | 99 Linwood Ave, Colchester, CT 06415-1159 | 2016-12-26 |
| 1942673751 | Renee Elizabeth Young | Nurse Practitioner | 1 Park Way, Seneca, PA 16346 | 2015-11-03 |
| 1043522592 | Renee Michelle Young | Anesthesiology | 333 Cedar St, Tomkins 3, New Haven, CT 06510-3206 | 2010-07-12 |
| 1699939082 | Renee Young | Occupational Therapist | 7235 Whipple Ave Nw, North Canton, OH 44720-7137 | 2008-07-15 |
| 1013004720 | Renee Linda Young | Occupational Therapist | 10701 East Blvd, 117(w), Cleveland, OH 44106-1702 | 2006-10-06 |
| 1316999899 | Renee L Young | Internal Medicine | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2006-05-16 |
| 1881688240 | Renee E Young | Marriage & Family Therapist | 105 E 3rd St, Washington, NC 27889-4923 | 2005-08-31 |
| Street Address |
222 E GRAND AVE STE 300 |
| City | PONCA CITY |
| State | OK |
| Zip Code | 74601-4316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275014847 | Renee P Young, Ms, Lmft, LLC | Counselor | 222 E Grand Ave Ste 300, Ponca City, OK 74601-4316 | 2018-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245867258 | Triad Health Systems LLC | Family Medicine | 2703 N 14th St, Ponca City, OK 74601 | 2020-03-27 |
| 1679096952 | Gabrielle Evangeline Barnes | Case Manager/Care Coordinator | 620 W. Grand, Ponca City, OK 74601 | 2017-07-19 |
| 1942722889 | Kimbra Leigh Anderson | Case Manager/Care Coordinator | 1500 N. 6th, Ponca City, OK 74601 | 2017-07-12 |
| 1033631965 | Kayla Patten | Case Manager/Care Coordinator | 620 W Grand, Ponca, OK 74601 | 2017-07-12 |
| 1639601859 | Affordable Dental | Dentist | 1618 N 5th St Ste 4, Ponca City, OK 74601 | 2017-03-28 |
| 1447627237 | Harold Jason Laughlin Jr. | Chiropractor | 222 E. Grand, Ste. 309, Ponca City, OK 74601 | 2015-08-27 |
| 1578947875 | Jessica James | Social Worker | 1500 N 6th, Ponca City, OK 74601 | 2015-07-16 |
| 1639565153 | Ryian Reyes | Point of Service | 2101 N 14th, Suite 134, Ponca City, OK 74601 | 2015-04-10 |
| 1003253006 | Proving Faithful Investments Inc. | Home Health | 205 W. Hartford Avenue #112, Ponca City, OK 74601 | 2013-05-30 |
| 1427365899 | Quint Allen Whitefield | Dentist | 1618 N. 5th Street, Suite #2, Ponca City, OK 74601 | 2010-09-08 |
| Find all providers in zip 74601 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316595036 | Craig Vincent Archer | Counselor | 401 Fairview Ave, Ponca City, OK 74601-1923 | 2019-08-27 |
| 1952438293 | Lisa Diane Dietz | Counselor | 222 E Grand Ave, Suite 404, Ponca City, OK 74601-4316 | 2007-02-27 |
| 1093854556 | Jamie Dawn Phillips | Counselor | 1300 Summers Pl, Ponca City, OK 74604 | 2007-02-05 |
| 1730130170 | Geoffrey H. Cowan | Counselor | 1500 N 6th St, Ponca City, OK 74601-2827 | 2006-05-12 |
| 1558989897 | Esther Adedayo | Counselor | 110 N 4th St, Ponca City, OK 74601-4527 | 2020-07-13 |
| 1952944803 | Jamie Worstell Wohletz | Counselor | 609 E Hartford Ave, Ponca City, OK 74601-2006 | 2019-10-23 |
| 1275014847 | Renee P Young, Ms, Lmft, LLC | Counselor | 222 E Grand Ave Ste 300, Ponca City, OK 74601-4316 | 2018-08-22 |
| 1790160224 | Ann Mayse | Counselor | 1912 Lake Rd, Ponca City, OK 74604 | 2015-07-27 |
| 1730579384 | Jennifer Inciarte | Counselor | 200 White Eagle Dr, Ponca City, OK 74601-8315 | 2015-02-03 |
| 1497145056 | Candice Kemble | Counselor | 200 White Eagle Dr, Ponca City, OK 74601-8315 | 2015-02-03 |
| Find all providers in PONCA CITY | ||||
| City | PONCA CITY |
| Zip Code | 74601 |
Please comment or provide details below to improve the information on RENEE PAULINE YOUNG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.