Active NPIIndividual providerSole proprietor

Medina Young

Counselor, Addiction (Substance Use Disorder) in Cranston, Rhode Island

NPI Number1841425360
Practice location
900 Reservoir Ave, Cranston, RI 02910-4453
Fax
401-632-4880
Last updated
September 30, 2019

Medina Young is a Counselor, Addiction (Substance Use Disorder) based in Cranston, RI. Medina Young practices in Cranston, RI. The NPI Number for Medina Young is 1841425360 and holds a License No. LCDP00211 (RI). The current practice location address for Medina Young is 900 Reservoir Ave, Cranston, RI 02910-4453 and can be reached out via phone at 401-230-7841 and via fax at 401-632-4880.

Provider Profile Details

NPI Number
1841425360
Provider Name
Medina Young
Provider Entity Type
Individual
Gender
Female
Address
900 Reservoir Ave, Cranston, RI 02910-4453
Phone Number
401-230-7841
Fax Number
401-632-4880
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
May 28, 2009
Last Update Date
September 30, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
900 Reservoir Ave
Cranston, RI 02910-4453
Zip
02910-4453
Phone Number
401-230-7841
Fax Number
401-632-4880
Cranston, RI 02910Get directions →

Provider Business Mailing Address Details

Address
900 Reservoir Ave
Cranston, RI 02910-4453
City
Cranston
State
RI
Zip
02910-4453
Phone Number
401-230-7841

License Information

License Number
LCDP00211
License State
RI
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Medina Young?

The NPI number of Medina Young is 1841425360. It was assigned on May 28, 2009 and is currently active in the NPPES registry.

What is the specialty of Medina Young?

Medina Young is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in RI under license number LCDP00211.

Where does Medina Young practice?

The practice location is 900 Reservoir Ave, Cranston, RI 02910-4453. The office can be reached at 401-230-7841 (phone) or 401-632-4880 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1841425360 directly on the NPPES registry website.

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