| Tammy Young, | |
|
210 Commerce St, Occoquan, VA 22125 | |
| (571) 230-5782 | |
| Not Available |
| Full Name | Tammy Young |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 210 Commerce St, Occoquan, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194406751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701012700 (Virginia) | Primary |
| Entity Name | Youth For Tomorrow New Life Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316118292 PECOS PAC ID: 1951673227 Enrollment ID: O20170822000018 |
| Mailing Address | Practice Location Address |
|---|---|
| Tammy Young, 4393 Kevin Walker Dr, # 1051, Montclair, VA 22025-1636 Ph: (571) 230-5782 | Tammy Young, 210 Commerce St, Occoquan, VA 22125 Ph: (571) 230-5782 |
Michelle Susan Kauble, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 210b Commerce St, Occoquan, VA 22125 Phone: 434-299-8501 | |
Amanda Etube, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 Commerce St Ste B, Occoquan, VA 22125 Phone: 703-646-1739 | |
Mrs. Heather Ann Guthrie-hoey, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 416 Mill St, Unit 1a, Occoquan, VA 22125 Phone: 703-490-9681 | |
Victoria Marie Worth, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 Commerce St, Occoquan, VA 22125 Phone: 703-888-8572 | |
Amy Noone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 Washington St, Occoquan, VA 22125 Phone: 703-929-0609 |