Provider Demographics
NPI:1447077078
Name:YOUNG, SYDNEY (LMHCA)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 12TH AVE E APT 3
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-5876
Mailing Address - Country:US
Mailing Address - Phone:317-498-3218
Mailing Address - Fax:
Practice Address - Street 1:16504 9TH AVE SE STE 106
Practice Address - Street 2:
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-6388
Practice Address - Country:US
Practice Address - Phone:425-510-0168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health