Provider Demographics
NPI:1609190263
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:253-474-7188
Mailing Address - Street 1:402 S 43RD ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98418-6613
Mailing Address - Country:US
Mailing Address - Phone:253-474-7188
Mailing Address - Fax:253-446-7137
Practice Address - Street 1:2832 MERIDIAN ST S
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-1447
Practice Address - Country:US
Practice Address - Phone:253-474-7188
Practice Address - Fax:253-446-7137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-25
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00002276106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty