Provider Demographics
NPI:1841690518
Name:YOUTH ADULT AWARENESS NEEDS GROUP (YAANG) LLC
Entity type:Organization
Organization Name:YOUTH ADULT AWARENESS NEEDS GROUP (YAANG) LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:MARSELLA
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:757-583-5370
Mailing Address - Street 1:7908-A MARSHALL AVENUE
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23605-2273
Mailing Address - Country:US
Mailing Address - Phone:757-586-5370
Mailing Address - Fax:
Practice Address - Street 1:7908-A MARSHALL AVENUE
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23605-2273
Practice Address - Country:US
Practice Address - Phone:757-586-5370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-29
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA205303001251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health