Individual provider · Type 1 NPI

Dericka Lea Young, MS, LPC

Professional Counselor · Fort Worth, TX

NPI number 1659831600 Active

Practice location

4500 Mercantile Plz Dr Ste 300
Fort Worth, TX 76137-4206

Call (682) 258-9740 Map

Mailing address

5900 Balcones Dr # 19525
Austin, TX 78731-4257

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X77911 (TX)
Mental Health Counselor 101YM0800X77911 (TX)
Counselor 101Y00000X77911 (TX)

Professional Counselor: Definition to come...

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About NPI 1659831600

Dericka Lea Young, MS, LPC's National Provider Identifier is 1659831600, issued on Mar 24, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Worth, TX. The record was last updated on Sep 27, 2025.