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YOUTH BRIDGE
NPI 1578906590
Counselor in Fayetteville, AR

Active since April 09, 2013
2153 EAST JOYCE BOULEVARD, FAYETTEVILLE, AR 72703(479) 521-1532 Get Directions Write a Review

NPPES record last updated: April 9, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Youth Bridge NPPES

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

YOUTH BRIDGE (NPI 1578906590) is a healthcare organization registered as a counselor in Fayetteville, Arkansas and active in the NPI registry since April 2013. The organization lists Kathy Lott, Program Director, as its authorized official.

NPPES Registry Identity

NPI1578906590
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameYOUTH BRIDGE
Location Address2153 EAST JOYCE BOULEVARDFayetteville, AR 72703
Mailing Address2153 East Joyce BoulevardFayetteville, AR 72703 · (479) 521-1532
Phone(479) 521-1532
Organization SubpartNo
Authorized OfficialKathy LottProgram Director · (479) 521-1532
Enumeration DateApril 9, 2013
✔ NPI 1578906590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2153 EAST JOYCE BOULEVARD, Fayetteville, AR 72703
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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 Youth Bridge's NPI number?

The NPI number for Youth Bridge is 1578906590. It was assigned to this organization in the NPPES registry on April 9, 2013.

Where is Youth Bridge located?

Youth Bridge is located at 2153 East Joyce Boulevard, Fayetteville, AR 72703. The listed phone number is (479) 521-1532.

What is Youth Bridge's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Youth Bridge was last updated on April 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.