Provider Demographics
NPI:1952718892
Name:YOUNG, GEORGE (LMHP)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:
Last Name:YOUNG
Suffix:
Gender:M
Credentials:LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 GEMINI CT
Mailing Address - Street 2:
Mailing Address - City:MC COOK
Mailing Address - State:NE
Mailing Address - Zip Code:69001-3400
Mailing Address - Country:US
Mailing Address - Phone:308-345-1710
Mailing Address - Fax:
Practice Address - Street 1:301 E 1ST ST
Practice Address - Street 2:
Practice Address - City:MC COOK
Practice Address - State:NE
Practice Address - Zip Code:69001-3746
Practice Address - Country:US
Practice Address - Phone:308-345-4880
Practice Address - Fax:308-995-9399
Is Sole Proprietor?:No
Enumeration Date:2014-07-11
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10266101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional