Provider Demographics
NPI:1972561538
Name:YOUNT, RON B JR
Entity Type:Individual
Prefix:MR
First Name:RON
Middle Name:B
Last Name:YOUNT
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1907 CHANDABROOK DR
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-1046
Mailing Address - Country:US
Mailing Address - Phone:205-988-4064
Mailing Address - Fax:205-682-9921
Practice Address - Street 1:2 RIVERCHASE OFFICE PLZ
Practice Address - Street 2:SUITE 122
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-2890
Practice Address - Country:US
Practice Address - Phone:205-682-9919
Practice Address - Fax:205-682-9921
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL172101YP2500X
ALL130106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51526435OtherALABAMA BLUE CROSS/BLUE S
51527203OtherAMERICAN BEHAVIORAL
6213726OtherUNITED BEHAVIOR HEALTH
51527203OtherFEDERAL BLUE CROSS
032592OtherVALUE OPTIONS