MEDICARE: MS. ERIKA 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	LPC011208	GA

General Provider Information

NPI Number	:	1831544881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ERIKA YOUNG LPC

Provider Business Mailing Address
First Line	:	2274 SALEM RD SE STE 1216
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30013-2097
Country	:	US
Telephone Number	:	678-374-9791
Fax Number	:

Provider Business Practice Location Address
First Line	:	2274 SALEM RD SE STE 1216
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30013-2097
Country	:	US
Telephone Number	:	678-374-9791
Fax Number	:

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

Provider Enumeration Date	:	04/27/2016
Last Update Date	:	09/24/2025

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