Provider Demographics
NPI:1811389448
Name:YOUNG, TROY MARIE (LCSW)
Entity Type:Individual
Prefix:
First Name:TROY
Middle Name:MARIE
Last Name:YOUNG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 SIERRA BONITA CT
Mailing Address - Street 2:
Mailing Address - City:MAPLETON
Mailing Address - State:UT
Mailing Address - Zip Code:84664-5041
Mailing Address - Country:US
Mailing Address - Phone:385-685-0407
Mailing Address - Fax:
Practice Address - Street 1:148 SIERRA BONITA CT
Practice Address - Street 2:
Practice Address - City:MAPLETON
Practice Address - State:UT
Practice Address - Zip Code:84664-5041
Practice Address - Country:US
Practice Address - Phone:385-685-0407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-18
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9802973-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical