Healthcare Provider Details

I. General information

NPI: 1568395838
Provider Name (Legal Business Name): ERIN YOUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4025 RAWLINS ST
CHEYENNE WY
82001-1900
US

IV. Provider business mailing address

1010 PENNSYLVANIA AVE
CHEYENNE WY
82001-7454
US

V. Phone/Fax

Practice location:
  • Phone: 307-426-4797
  • Fax:
Mailing address:
  • Phone: 307-426-4797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1672
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: