Individual ProviderTeresa L YoungCounselorBehavioral Health & Social Service ProvidersPractice Address601 Wall St, Valparaiso, IN 46383-2512(219) 531-3500PECOS EnrollmentBased on the most recent information from CMS, provider Teresa L Young does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:05 AM.Profile DetailsProvider ID1922260785Provider TypeIndividualFull NameYoung, Teresa LTitleMs.CredentialMSGenderFemaleSole ProprietorNoEnumeration Date7/1/2008Last Updated11/19/2012Contact InformationPractice LocationPractice Address601 Wall St, Valparaiso, IN 46383-2512Phone(219) 531-3500Fax(219) 462-3975Mailing LocationMailing Address601 Wall St, Valparaiso, IN 46383-2512Phone(219) 531-3500Fax(219) 462-3975Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID200275200ADescriptionMedicaidIssuerUnlistedIndiana