Provider Demographics
NPI:1144330259
Name:YOUNG, LINDA B (LCSW)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:B
Last Name:YOUNG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 JORDAN LANE
Mailing Address - Street 2:SUITE B
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35816-3030
Mailing Address - Country:US
Mailing Address - Phone:256-533-3717
Mailing Address - Fax:256-536-8370
Practice Address - Street 1:1100 JORDAN LANE
Practice Address - Street 2:SUITE B
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35816-3030
Practice Address - Country:US
Practice Address - Phone:256-533-3717
Practice Address - Fax:256-536-8370
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0389C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51042950OtherBLUE CROSS B SHIELD
AL73389420OtherUNITED BEHAV HEALTH