Provider Demographics
NPI:1528762804
Name:WELLNESS WITH DR YOUNG PLLC
Entity type:Organization
Organization Name:WELLNESS WITH DR YOUNG PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:979-587-1200
Mailing Address - Street 1:4058 HIGHWAY 6 S STE 300
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-4670
Mailing Address - Country:US
Mailing Address - Phone:979-587-1200
Mailing Address - Fax:
Practice Address - Street 1:4058 HIGHWAY 6 S STE 300
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-4670
Practice Address - Country:US
Practice Address - Phone:979-587-1200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty