MEDICARE: M C YOUNG COUNSELING PLLC

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

General Provider Information

NPI Number	:	1366263691
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M C YOUNG COUNSELING PLLC

Provider Business Mailing Address
First Line	:	7601 W HIGHWAY 71 BLDG B
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78735-8205
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7601 W HIGHWAY 71 BLDG B
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78735-8205
Country	:	US
Telephone Number	:	512-240-2496
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	MOLLY YOUNG
Credential	:	M.A., LMFT-ASSOCIATE
Telephone Number	:	512-240-2496

Provider Enumeration Date	:	10/19/2024
Last Update Date	:	10/19/2024

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