Provider Demographics
NPI:1013713825
Name:YOUNG, MINDI LYNN (PLADC)
Entity type:Individual
Prefix:
First Name:MINDI
Middle Name:LYNN
Last Name:YOUNG
Suffix:
Gender:
Credentials:PLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1230 SHERMAN ST
Mailing Address - Street 2:
Mailing Address - City:HOLDREGE
Mailing Address - State:NE
Mailing Address - Zip Code:68949-1458
Mailing Address - Country:US
Mailing Address - Phone:308-293-7252
Mailing Address - Fax:
Practice Address - Street 1:417 EAST AVE
Practice Address - Street 2:
Practice Address - City:HOLDREGE
Practice Address - State:NE
Practice Address - Zip Code:68949-2216
Practice Address - Country:US
Practice Address - Phone:308-293-7252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEP-2241101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)