Provider Demographics
NPI:1710034715
Name:YOUNCE, TANYA CHRISTINA (MED, PCC)
Entity Type:Individual
Prefix:
First Name:TANYA
Middle Name:CHRISTINA
Last Name:YOUNCE
Suffix:
Gender:F
Credentials:MED, PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1511 HILLSIDE FOREST DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6409
Mailing Address - Country:US
Mailing Address - Phone:513-795-2562
Mailing Address - Fax:
Practice Address - Street 1:1511 HILLSIDE FOREST DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-6409
Practice Address - Country:US
Practice Address - Phone:513-795-2562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2019-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE004251101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health