Provider Demographics
NPI:1285939066
Name:YOUNGLAND, JOY R (LMHP;CSW (NE)LMSW(KS)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:R
Last Name:YOUNGLAND
Suffix:
Gender:F
Credentials:LMHP;CSW (NE)LMSW(KS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9239 W CENTER RD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-1933
Mailing Address - Country:US
Mailing Address - Phone:402-354-8000
Mailing Address - Fax:402-354-8046
Practice Address - Street 1:9239 W CENTER RD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-1933
Practice Address - Country:US
Practice Address - Phone:402-354-8000
Practice Address - Fax:402-354-8046
Is Sole Proprietor?:No
Enumeration Date:2011-01-25
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLMSW 7674104100000X
NELMHP 1196101YM0800X
NECSW 2529104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health