Provider Demographics
NPI:1023666351
Name:YOUNGER, JUST WADE (LCSW)
Entity type:Individual
Prefix:
First Name:JUST
Middle Name:WADE
Last Name:YOUNGER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5401 JOHN F KENNEDY BLVD STE G
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72116-6740
Mailing Address - Country:US
Mailing Address - Phone:870-615-0238
Mailing Address - Fax:855-877-0663
Practice Address - Street 1:5401 JOHN F KENNEDY BLVD STE G
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72116-6740
Practice Address - Country:US
Practice Address - Phone:870-615-0238
Practice Address - Fax:855-877-0663
Is Sole Proprietor?:No
Enumeration Date:2019-08-29
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR9608-M104100000X
AR9608-C104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker