Provider Demographics
NPI:1558809004
Name:YOU FIRST THERAPEUTIC SERVICES PLLC
Entity Type:Organization
Organization Name:YOU FIRST THERAPEUTIC SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SIMONE
Authorized Official - Middle Name:SERVICES
Authorized Official - Last Name:REEVES
Authorized Official - Suffix:
Authorized Official - Credentials:MA,LPCS
Authorized Official - Phone:704-840-2848
Mailing Address - Street 1:7005 WALLACE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28212-6886
Mailing Address - Country:US
Mailing Address - Phone:704-840-2848
Mailing Address - Fax:
Practice Address - Street 1:7005 WALLACE RD STE 200
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-6886
Practice Address - Country:US
Practice Address - Phone:704-840-2848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-05
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7160101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP81273Medicaid