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

Youthful Image Inc

Organization Mental Health Counselor · NPI 1457404709

Youthful Image Inc is a Mental Health Counselor in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

912 Ashe St
Greensboro, NC 27406-1204
Phone: (336) 691-5748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 041746 (NC)

Record details

NPI number1457404709
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Seagraves — Ceo · (336) 209-5122
NPI enumeratedJanuary 19, 2007
Last updated in NPPESAugust 22, 2020
Mailing address853 Blazingwood Dr, Greensboro, NC 27406-8228

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