Healthcare Provider Details

I. General information

NPI: 1437077567
Provider Name (Legal Business Name): MARY SEITZ YOUNG LPCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARY SEITZ SPRATLIN LPCA

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 OAK FOREST DR
CHARLESTON SC
29407-7078
US

IV. Provider business mailing address

3812 W MONTAGUE AVE APT 1308
NORTH CHARLESTON SC
29418-6107
US

V. Phone/Fax

Practice location:
  • Phone: 843-410-9046
  • Fax:
Mailing address:
  • Phone: 601-717-2914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number11098
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: