WENDY PRUETT YOUNG (NPI# 1962912410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962912410 |
Entity Type | Individual |
Full Name | WENDY PRUETT YOUNG |
Credential | MS, LPC, AADC |
Practice Address |
209 W Maple Ave Fayetteville WV 25840-1413 |
Mailing Address |
1295 Laurel Creek Rd Fayetteville WV 25840-5811 |
Practice Telephone | 3045742100 |
Mailing Telephone | 3046633715 |
Enumeration Date | 2017-10-10 |
Last Update Date | 2017-10-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15-313 | WV | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
2173 | WV | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093761413 | Wendy Young | Occupational Therapist | 10566 Cedarhill Cir, Villa Park, CA 92861-5302 | 2006-05-26 |
1093220857 | Wendy Lou Young | Registered Nurse | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2017-12-02 |
1295130243 | Wendy Young | Specialist | 45-1144 Kamehameha Hwy Ste 200, Kaneohe, HI 96744-3226 | 2014-10-31 |
1528219276 | Wendy Young | Occupational Therapist | 1633 Philipsburg Bigler Hwy, Philipsburg, PA 16866-8112 | 2008-09-30 |
1659582427 | Wendy Young | Social Worker | 101 N Beecher St, Bessemer, MI 49911-1109 | 2007-05-24 |
1821202979 | Wendy Hamilton Young | Dietitian, Registered | 3010 Taylor Springs Dr, Louisville, KY 40220-1506 | 2007-05-09 |
1639201122 | Wendy Sue Young | Occupational Therapist | 112 N 7th St, Chambersburg Hospital Physical Medicine Department, Chambersburg, PA 17201-1720 | 2007-03-10 |
1134269665 | Wendy Young | Nurse Practitioner | 4647 Zion Ave, San Diego, CA 92120-2507 | 2007-02-07 |
1538226626 | Wendy Young | Nurse Practitioner | 101 Dudley St, Providence, RI 02905-2401 | 2007-01-02 |
1952462996 | Wendy D Young | Nurse Anesthetist, Certified Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2006-12-13 |
Street Address |
209 W MAPLE AVE |
City | FAYETTEVILLE |
State | WV |
Zip Code | 25840-1413 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134279581 | Stephanie Jill Daniel | Psychologist | 209 W Maple Ave, Fayetteville, WV 25840-1413 | 2007-01-10 |
1023617081 | Cynthia Ann Bail | Case Manager/Care Coordinator | 209 W Maple Ave, Fayetteville, WV 25840-1413 | 2020-10-21 |
1518581404 | Heather Renee Collins | Social Worker | 209 W Maple Ave, Fayetteville, WV 25840-1413 | 2020-06-05 |
1134552888 | Rebecca Rae Stone | Psychologist | 209 W Maple Ave, Fayetteville, WV 25840-1413 | 2013-08-16 |
1750594115 | Philip E Sundstrom | Psychologist | 209 W Maple Ave, Fayetteville, WV 25840-1413 | 2007-05-08 |
1548473903 | Mark Vincent Sundstrom | Social Worker | 209 W Maple Ave, Fayetteville, WV 25840-1413 | 2007-05-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447766639 | Nancy Carol Myles | Technician | 171 Wood Rd, Fayetteville, WV 25840 | 2017-12-26 |
1598933954 | Kembra Anne Crist | Registered Nurse | 111 Fayette Avenue, Fayette County Boe, Fayetteville, WV 25840 | 2008-02-19 |
1003004854 | Edward Lee Winter | Psychologist | 111 Fayette Ave., Fayette County Schools, Fayetteville, WV 25840 | 2007-10-05 |
1811109432 | Anita Louise Swanson | Physical Therapist | 111 Fayette Ave, Fayetteville, WV 25840 | 2007-05-04 |
1003964008 | Krista L Copenhaver-mackowiak | Nurse Anesthetist, Certified Registered | 613 Crooked Run Rd, Fayetteville, WV 25840 | 2007-01-08 |
1922171024 | Carl Arthur Hansen | Dentist | 215 North Court St, Fayetteville, WV 25840 | 2006-11-16 |
1932202447 | Appalachian Regional Healthcare | Clinic/Center | 436 Elizabeth Way, Fayetteville, WV 25840 | 2006-09-07 |
1154424810 | West Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 72 Whitewater Ave, Fayetteville, WV 25840 | 2006-09-07 |
1447241310 | Karen L. Pettry-hultman | Family Medicine | Rr 3 Box 9, Fayetteville, WV 25840 | 2005-10-31 |
1598125577 | Jeanne Black | Registered Nurse | 111 Fayette Avenue, Fayette County Schools, Fayetteville, WV 25840 | 2016-03-03 |
Find all providers in zip 25840 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841899986 | Cynthia Hrdlichka | Counselor | 2224 E Elaine Ave, Fayetteville, AR 72703-4507 | 2020-10-20 |
1568069169 | Blaire Bradbury | Counselor | 1466 N Desoto Pl, Fayetteville, AR 72703-1953 | 2020-10-06 |
1588294631 | Puzzle Collaborative | Counselor | 34 W Colt Square Dr Ste 1, Fayetteville, AR 72703-2888 | 2020-01-16 |
1700421724 | Waylon Vande Hoef | Counselor | 1925 N Green Acres Rd, Fayetteville, AR 72703-2617 | 2019-11-13 |
1730640137 | Sherrita Hedgepeth | Counselor | 1351 Glen Iris Dr Apt 105, Fayetteville, NC 28314-6190 | 2019-03-28 |
1689139362 | Resiliency Behavioral Health Services LLC | Counselor | 145 Govenors Square, Ste A, Fayetteville, GA 30269 | 2019-02-06 |
1073006540 | Rona Gooden | Counselor | 706 Dandridge Dr, Fayetteville, NC 28303-2017 | 2018-06-10 |
1194229245 | The Welling Place LLC | Counselor | 2525 Raeford Rd Ste C, Fayetteville, NC 28305-5092 | 2018-03-22 |
1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
1376062539 | Monique R Darnell | Counselor | 320 W. Lanier Avenue Ste 200, Fayetteville, GA 30214 | 2017-09-19 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 25840 |
Please comment or provide details below to improve the information on WENDY PRUETT 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.