Healthcare Provider Details

I. General information

NPI: 1740178201
Provider Name (Legal Business Name): EVERYOUNG COUNSELING AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2025
Last Update Date: 06/25/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3916 NW 164TH ST APT 19103
EDMOND OK
73013-7119
US

IV. Provider business mailing address

301 W BRITTON RD UNIT 16107
OKLAHOMA CITY OK
73113-4805
US

V. Phone/Fax

Practice location:
  • Phone: 405-638-5333
  • Fax:
Mailing address:
  • Phone: 405-638-5333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE YOUNG
Title or Position: OWNER/THERAPIST
Credential: LPC
Phone: 405-638-5333