# YOUNG CLINICAL SERVICES

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

## Provider details

- **NPI number:** 1497437974
- **Authorized official:** MITCHELL J. YOUNG LMHC (OWNER AND COUNSELOR)
- **Authorized official phone:** (317) 360-5641

## Contact information

- **Practice address:** 412 S MAPLE ST STE 103, FORTVILLE, IN 46040-1681
- **Practice address phone:** (317) 360-5641
- **Mailing address:** 412 S MAPLE ST STE 103, FORTVILLE, IN 46040-1681
- **Mailing address phone:** (317) 360-5641

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | Yes |
| 101YP2500X | Professional Counselor | — | — | Yes |

## Other

- **Enumeration date:** 08/03/2023
- **Last updated:** 08/03/2023