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YOUTH EXPERIENCING SUCCESS INC. NPI 1164517157


NPI Information

NPI: 1164517157
Provider Name: YOUTH EXPERIENCING SUCCESS, INC.

Doing Business As: TRADING AS T/A DOT'S PLACE

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
2804 2ND AVENUE
RICHMOND, VA
ZIP 23222
Phone: (804) 329-5200
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YOUTH EXPERIENCING SUCCESS, INC. is a community based residential treatment facility mental illness in Richmond, VA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. YOUTH EXPERIENCING SUCCESS, INC. NPI is 1164517157. The provider is registered as an organization entity type.
The provider Is Doing Business As Trading As T/a Dot's Place.

The provider's business location address is:

2804 2ND AVENUE
RICHMOND, VA
ZIP 23222-909
Phone: (804) 329-5200
Fax: (804) 329-5202

The provider's authorized official is Veronica Hicks L. Hicks .
The authorized official title is Chief Executive Officer Owner and has the following contact phone number (804) 329-5200.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 8/7/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenSS-04-07VIRGINIANo
2320800000XCommunity Based Residential Treatment Facility, Mental IllnessSS-04-07VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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