MEDICARE: SARA KINLEY MULLEN YOUNG LPC

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	101YP2500X	Professional Counselor	0701007002	VA
2	101YM0800X	Mental Health Counselor	0701007002	VA

General Provider Information

NPI Number	:	1366972416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA KINLEY MULLEN YOUNG LPC

Provider Business Mailing Address
First Line	:	8241 SIMONS DR
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23505-1644
Country	:	US
Telephone Number	:	757-650-6897
Fax Number	:

Provider Business Practice Location Address
First Line	:	8241 SIMONS DR
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23505-1644
Country	:	US
Telephone Number	:	757-650-6897
Fax Number	:

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

Provider Enumeration Date	:	06/12/2017
Last Update Date	:	08/07/2025

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Directions to “ SARA KINLEY MULLEN YOUNG LPC” Practice Location

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