NPI 1063007433

Youth Empowerment Support Services LLC

Organisation Rehabilitation Counselor La Plata, MD

Practice location

Address: 9085 Mitchell Rd, La Plata, MD 20646-2862
Phone: (301) 636-7010
Mailing address: PO Box 1531, White Plains, MD 20695-1531

Authorised official

Name: Tynika Cobbs
Title: Founder
Phone: (443) 359-0420

Registered specialties

Rehabilitation Counselor Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225C00000X

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Registry record

NPI: 1063007433
Entity type: Organization
NPI issued: 7 Mar 2021
Record last updated: 7 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.