Youth Form, LLC
Youth Form, LLC is a Clinical Social Worker in Tallahassee, Florida. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1018 Thomasville RdTallahassee, FL 32303-8701
Phone: (850) 296-2493
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1699528059 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kortney Clinton — Founder/Clinican · (850) 296-2493 |
| NPI enumerated | April 8, 2024 |
| Last updated in NPPES | April 8, 2024 |
| Certification date | April 7, 2024 |
| Mailing address | Po Box 332, Lloyd, FL 32337-0332 |
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