Provider Demographics
NPI:1639533219
Name:YOUNG, DANIELLE (CMA)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1678 MONTGOMERY HWY
Mailing Address - Street 2:SUITE 104-337
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35216-4914
Mailing Address - Country:US
Mailing Address - Phone:800-293-3972
Mailing Address - Fax:205-506-4717
Practice Address - Street 1:1678 MONTGOMERY HWY
Practice Address - Street 2:SUITE 104-337
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35216-4914
Practice Address - Country:US
Practice Address - Phone:800-293-3972
Practice Address - Fax:205-506-4717
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-08
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14019600251B00000X, 251E00000X, 251G00000X, 251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care