| Ean Vincenzo Young, LPC, LMFT, CEAP, NCC | |
|
600 Jefferson St, Suite 902, Lafayette, LA 70501-6942 | |
| (337) 993-0000 | |
| (337) 354-2410 |
| Full Name | Ean Vincenzo Young |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 600 Jefferson St, Lafayette, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003861683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2817 (Louisiana) | Primary |
| 106H00000X | Marriage & Family Therapist | 236 (Louisiana) | Secondary |
| Entity Name | Senior Psychological Care Dallas I Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649566795 PECOS PAC ID: 3375717044 Enrollment ID: O20111114000885 |
| Mailing Address | Practice Location Address |
|---|---|
| Ean Vincenzo Young, LPC, LMFT, CEAP, NCC 104 Olive Vista Dr, Scott, LA 70583-5655 Ph: (337) 501-1255 | Ean Vincenzo Young, LPC, LMFT, CEAP, NCC 600 Jefferson St, Suite 902, Lafayette, LA 70501-6942 Ph: (337) 993-0000 |
Mrs. Kimberly Lachney, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Poydras St, Lafayette, LA 70501 Phone: 337-231-6365 | |
Tammbla Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2448 Johnston St Ste B, Lafayette, LA 70503 Phone: 337-233-7250 | |
Peter Brian Derouen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 Industrial Pkwy Ste 105, Lafayette, LA 70508 Phone: 337-298-0990 | |
Lori Landry Reeves, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 Tasvo Trl, Lafayette, LA 70508 Phone: 858-229-1629 | |
Christine Lerille Mcgill, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 143 Ridgeway Dr Ste 326, Lafayette, LA 70503 Phone: 337-319-7082 | |
Alyssa Schwartzenburg, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1105 General Mouton Ave, Lafayette, LA 70501 Phone: 337-552-2046 Fax: 337-205-9893 |