MEDICARE: JULIA LOUISE YOUNG LMHC, CCLS

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	101YM0800X	Mental Health Counselor	MH19508	FL
2	101YP2500X	Professional Counselor	LPC016217	GA

General Provider Information

NPI Number	:	1295483808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA LOUISE YOUNG LMHC, CCLS

Provider Business Mailing Address
First Line	:	610 KENTUCKY ST # 172
Second Line	:
City	:	SCOTTDALE
State	:	GA
Zip	:	30079-1124
Country	:	US
Telephone Number	:	937-602-0839
Fax Number	:

Provider Business Practice Location Address
First Line	:	707 WHITLOCK AVE SW STE D31
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30064-3083
Country	:	US
Telephone Number	:	407-449-2856
Fax Number	:

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

Provider Enumeration Date	:	03/13/2022
Last Update Date	:	02/02/2026

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