Provider Demographics
NPI:1861179228
Name:YOUNG, ROSELYN ABELLERA (LMHC)
Entity type:Individual
Prefix:
First Name:ROSELYN
Middle Name:ABELLERA
Last Name:YOUNG
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10555 SE TERRAPIN PL APT 206F
Mailing Address - Street 2:
Mailing Address - City:TEQUESTA
Mailing Address - State:FL
Mailing Address - Zip Code:33469-1572
Mailing Address - Country:US
Mailing Address - Phone:404-862-0284
Mailing Address - Fax:
Practice Address - Street 1:10555 SE TERRAPIN PL APT 206F
Practice Address - Street 2:
Practice Address - City:TEQUESTA
Practice Address - State:FL
Practice Address - Zip Code:33469-1572
Practice Address - Country:US
Practice Address - Phone:404-862-0284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH21623101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health