Provider Demographics
NPI:1093110249
Name:YOUNG, HOPE
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8755 FAIRWIND DR
Mailing Address - Street 2:APT G6
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-9624
Mailing Address - Country:US
Mailing Address - Phone:843-953-4314
Mailing Address - Fax:
Practice Address - Street 1:8755 FAIRWIND DR
Practice Address - Street 2:APT G6
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9624
Practice Address - Country:US
Practice Address - Phone:843-953-4314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-30
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10245104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker