Provider Listings

Update or Remove Provider Information

If you are a practitioner listed in this directory and need to update or remove your information, complete the form below.

YPR may update or remove information from the YPR-hosted directory, but YPR cannot update SAMHSA’s source data. To change the original federal locator information, contact SAMHSA at providersupport@samhsa.hhs.gov. YPR may request verification that you are the listed practitioner or an authorized representative.

The listing you’re writing about Provider name * Practice / organization name Current listing address

City State ZIP code

Phone number listed

What you’re requesting Request type Requested update / details New contact information (if updating)

About you Your name * Your role / relationship to the provider or practice

Your email * Your phone

Verification document (optional — PDF, JPG, or PNG, up to 10MB) I confirm that I am the listed practitioner or am authorized to request this update on behalf of the listed practitioner or practice. *

Please do not include DEA numbers or state license numbers — YPR does not collect them here.