Individual
ERIK YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED, LPC, LMHC
Contact information
Practice address
10000 SAINT GEORGES RD APT 201A, ORMOND BEACH, FL 32174-1127
(484) 693-0582
(484) 631-0502
Mailing address
10000 SAINT GEORGES RD APT 201A, ORMOND BEACH, FL 32174-1127
(484) 693-0582
(484) 631-0502
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH18719
FL
101YP2500X
Professional Counselor
Primary
PC005853
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110212300
—
FL
01
—
MH18719
LICENSED MENTAL HEALTH COUNSELOR
FL
01
—
PC005853
LICENSED PROFESSIONAL COUNSELOR
PA
Enumeration date
07/05/2011
Last updated
05/23/2021
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