Provider Demographics
NPI:1669668661
Name:YOUNG, ANN PARRIS (MED LPC)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:PARRIS
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MED LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3835 ABINGDON RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-3748
Mailing Address - Country:US
Mailing Address - Phone:704-362-2460
Mailing Address - Fax:704-362-2460
Practice Address - Street 1:2014 PARK DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2400
Practice Address - Country:US
Practice Address - Phone:704-362-2460
Practice Address - Fax:704-362-2460
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC796101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional