Healthcare Provider Details

I. General information

NPI: 1386950095
Provider Name (Legal Business Name): SHERILYN MICHELE YOUNG LPCC, MCA, CSC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2010
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S MILLER ST STE 121
SANTA MARIA CA
93454-5243
US

IV. Provider business mailing address

1543 SEABRIGHT AVE
GROVER BEACH CA
93433
US

V. Phone/Fax

Practice location:
  • Phone: 805-349-2255
  • Fax: 805-349-2256
Mailing address:
  • Phone: 805-458-6776
  • Fax: 805-354-1552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC207
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberYO412151234
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number60651
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC207
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLPC207
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: