Individual ProviderLisa YoungCounselorBehavioral Health & Social Service ProvidersPractice Address12827 Holiday Ln, Bowie, MD 20716-1139(215) 913-4126PECOS EnrollmentBased on the most recent information from CMS, provider Lisa 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 8 days ago.Profile DetailsProvider ID1972940047Provider TypeIndividualFull NameYoung, LisaCredentialLCPCGenderFemaleSole ProprietorNoEnumeration Date5/30/2013Last Updated10/26/2020Contact InformationPractice LocationPractice Address12827 Holiday Ln, Bowie, MD 20716-1139Phone(215) 913-4126FaxUnlisted FaxMailing LocationMailing Address12827 Holiday Ln, Bowie, MD 20716-1139PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLC6701MarylandCode101YP2500XDescriptionCounselorBehavioral Health & Social Service ProvidersLicensePC005405PennsylvaniaCode101YP2500XDescriptionCounselorBehavioral Health & Social Service ProvidersLicensePRC15296District of Columbia