Provider Demographics
NPI:1407619695
Name:FIRST CHOICE PSYCHIATRY, A NURSING CORPORATION
Entity Type:Organization
Organization Name:FIRST CHOICE PSYCHIATRY, A NURSING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:POINCIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUELL
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:661-526-8146
Mailing Address - Street 1:626 W LANCASTER BLVD STE 137
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-3108
Mailing Address - Country:US
Mailing Address - Phone:661-718-4655
Mailing Address - Fax:
Practice Address - Street 1:626 W LANCASTER BLVD STE 137
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-3108
Practice Address - Country:US
Practice Address - Phone:661-718-4655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty