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Organization
DISTRACTED THERAPIST
Active
Organization
DISTRACTED THERAPIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA YOUNG LCSW (OWNER/PSYCHOTHERAPIST)
(215) 313-0086
Entity
Organization
Contact information
Practice address
504 N PARK RD, WYOMISSING, PA 19610-2920
(484) 929-0688
Mailing address
504 N PARK RD, WYOMISSING, PA 19610-2920
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/13/2025
Last updated
08/11/2026
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