Provider Demographics
NPI:1689087124
Name:YOUNG, SARA (LPCC)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3499 BLAZER PKWY STE 440
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-2803
Mailing Address - Country:US
Mailing Address - Phone:859-684-0852
Mailing Address - Fax:
Practice Address - Street 1:3499 BLAZER PKWY STE 440
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-2803
Practice Address - Country:US
Practice Address - Phone:859-684-0852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-03
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-1744101YP2500X
KY175194101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional