MEDICARE: CARMIN YOUNG PLPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	P-0931	MS

General Provider Information

NPI Number	:	1194407031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARMIN YOUNG PLPC

Provider Business Mailing Address
First Line	:	2112 BIENVILLE BLVD STE C1
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-3015
Country	:	US
Telephone Number	:	662-398-2808
Fax Number	:

Provider Business Practice Location Address
First Line	:	2112 BIENVILLE BLVD STE C1
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-3015
Country	:	US
Telephone Number	:	662-205-8130
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2023
Last Update Date	:	02/12/2026

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