Provider Demographics
NPI:1073902714
Name:SHARON Y YOUNG, LLC
Entity Type:Organization
Organization Name:SHARON Y YOUNG, LLC
Other - Org Name:INFINITE POSSIBILITIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:YVONNE
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:253-881-1428
Mailing Address - Street 1:4227 S MERIDIAN
Mailing Address - Street 2:#C-576
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-3603
Mailing Address - Country:US
Mailing Address - Phone:253-881-1428
Mailing Address - Fax:
Practice Address - Street 1:12511 MERIDIAN E
Practice Address - Street 2:SUITE 201
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-3425
Practice Address - Country:US
Practice Address - Phone:253-881-1428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-19
Last Update Date:2015-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60514266251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health