1. Home
  2. Directory
  3. North Carolina
  4. Greensboro
  5. Counselor
  6. NPI Profile

YOUTHFUL IMAGE INC
NPI 1457404709
Counselor - Mental Health in Greensboro, NC

Active since January 19, 2007
912 ASHE ST, GREENSBORO, NC 27406(336) 691-5748 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Youthful Image Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YOUTHFUL IMAGE INC (NPI 1457404709) is a healthcare organization registered as a mental health in Greensboro, North Carolina and active in the NPI registry since January 2007. The organization lists Brian Lamont Seagraves, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457404709
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameYOUTHFUL IMAGE INC
Location Address912 ASHE STGreensboro, NC 27406-1204
Mailing Address853 Blazingwood DrGreensboro, NC 27406-8228 · (336) 209-5122 · Fax (336) 638-9400
Phone(336) 691-5748
Organization SubpartNo
Authorized OfficialBrian Lamont SeagravesCeo · (336) 209-5122
Enumeration DateJanuary 19, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1457404709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 041746
912 ASHE ST, Greensboro, NC 27406
Open in Google Maps ↗

Other Identifiers 1

Medicaid6603915NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Youthful Image Inc's NPI number?

The NPI number for Youthful Image Inc is 1457404709. It was assigned to this organization in the NPPES registry on January 19, 2007.

Where is Youthful Image Inc located?

Youthful Image Inc is located at 912 Ashe St, Greensboro, NC 27406. The listed phone number is (336) 691-5748.

What is Youthful Image Inc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Youthful Image Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.