Provider Demographics
NPI:1891017430
Name:GROSS YOUNG ENTERPRISES, INC
Entity Type:Organization
Organization Name:GROSS YOUNG ENTERPRISES, INC
Other - Org Name:LENI GROSS YOUNG, MA, LMHC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LENI
Authorized Official - Middle Name:F
Authorized Official - Last Name:GROSS YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:978-430-5375
Mailing Address - Street 1:3 ESSEX GREEN DR
Mailing Address - Street 2:SUITE #1
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-2927
Mailing Address - Country:US
Mailing Address - Phone:978-430-5375
Mailing Address - Fax:978-532-6366
Practice Address - Street 1:3 ESSEX GREEN DR
Practice Address - Street 2:SUITE #1
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-2927
Practice Address - Country:US
Practice Address - Phone:978-430-5375
Practice Address - Fax:978-532-6366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-24
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1285101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1346327418OtherINDIVIDUAL NPI