Organization · NPI-2

J. Wade Younger, Lcsw, PLLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · North Little Rock, AR

NPI number1770320608
StatusActive
Last updated in NPPESJul 9, 2024

Details

NPI
1770320608
Entity type
Organization (NPI-2)
Legal business name
J. Wade Younger, Lcsw, PLLC
Organization subpart
No
Enumeration date
Jul 9, 2024
Certification date
Jul 9, 2024
Last updated
Jul 9, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

5401 John F Kennedy Blvd Ste G
North Little Rock, AR 72116-6740

Phone 870-615-0238

Mailing address

5619 C St
Little Rock, AR 72205-3313

Phone 870-615-0238

Authorized official

Just Wade Younger
Owner/Mhp
8706150238

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