Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Young Residential LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1184290934

Young Residential LLC is a Mental Illness Community Based Residential Treatment Facility in Phoenix, Arizona. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6449 S 16th Pl
Phoenix, AZ 85042-4569
Phone: (619) 647-7568
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X

Record details

NPI number1184290934
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Latasheanne Cockhren — Sole Member/ Ceo · (619) 647-7568
NPI enumeratedJune 2, 2021
Last updated in NPPESJune 2, 2021
Certification dateJune 2, 2021
Mailing address2177 S McQueen Rd Apt 3002, Chandler, AZ 85286-1849

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