# RENEE P YOUNG, MS, LMFT, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275014847
- **Authorized official:** RENEE PAULINE YOUNG MS, LMFT (OWNER)
- **Authorized official phone:** (580) 304-2069

## Contact information

- **Practice address:** 222 E GRAND AVE STE 300, PONCA CITY, OK 74601-4316
- **Practice address phone:** (405) 939-0559
- **Practice address fax:** (580) 916-9538
- **Mailing address:** 2412 DONNER AVE., PONCA CITY, OK 74604
- **Mailing address phone:** (580) 304-2069
- **Mailing address fax:** (580) 916-9538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 1136 | OK | — |
| 106H00000X | Marriage & Family Therapist | 1136 | OK | Yes |

## Other

- **Enumeration date:** 08/22/2018
- **Last updated:** 08/22/2018