THE AGENCY FOR YOUTH AND FAMILY DEVELOPMENT (NPI# 1861687899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861687899 |
| Entity Type | Organization |
| Organization Name | THE AGENCY FOR YOUTH AND FAMILY DEVELOPMENT |
| Practice Address |
1071 Mullins Station Rd Memphis TN 38134-7723 |
| Practice Telephone | 9013875840 |
| Practice Fax Number | 9013875739 |
| Mailing Telephone | 9013875840 |
| Mailing Fax Number | 9013875739 |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |
| Authorized Official Name | DR. GERALD JEROME JORDAN (CEO) |
| Authorized Official Telephone | 9013875840 |
| Authorized Official Credential | THD |
| Is Organization Subpart | Y |
| Parent Organization Name | THE AGENCY FOR YOUTH AND FAMILY DEVELOPMENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | L237M30176449 | TN | Residential Treatment Facilities |
| Street Address |
1071 MULLINS STATION RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38134-7723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839313 | Tiffany Catrell Williams | Technician | 5312 Yellowood Road, Memphis, TN 38134 | 2020-01-02 |
| 1225676489 | Sandra Kay Branch | Technician | 2010 Joe Brooks Dr, Memphis, TN 38134 | 2019-12-18 |
| 1780151092 | Stephen R Hadley | Pharmacist | 3090 Kirby Whitten Rd, Bartlett, TN 38134 | 2018-10-25 |
| 1760962450 | Delta Transportation Services | Non-emergency Medical Transport (VAN) | 2856 Alfaree St, Bartlett, TN 38134 | 2018-08-21 |
| 1013409853 | Chosen Vessel Ministries | Clinic/Center | 6551 Stage Oaks Drive, Suite 4, Bartlett, TN 38134 | 2018-06-06 |
| 1710495858 | Lifetech Ambulance, LLC | Ambulance | 2874 Shelby St Ste 150, Bartlett, TN 38134 | 2018-01-10 |
| 1144744459 | Robin Coughlin | Counselor | 6553 Honeybrook Rd., Memphis, TN 38134 | 2017-07-28 |
| 1174047484 | Shannon Eric Overley | Behavioral Analyst | 5909 Shelby Oaks Drive Suite #100, Memphis, TN 38134 | 2017-07-28 |
| 1063881928 | Nursing Solutions | Nursing Care | 4311 Fiske Valley Drive, Memphis, TN 38134 | 2015-09-22 |
| 1821479254 | Mid-south Healthnet | Community Based Residential Treatment Facility, Mental Illness | 5909 Shelby Oaks Drive Suite 100, Memphis, TN 38134 | 2015-06-11 |
| Find all providers in zip 38134 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831645100 | Bobby Winbush | Residential Treatment Facility, Emotionally Disturbed Children | 1167 Parkland Rd, Memphis, TN 38111 | 2016-08-28 |
| 1447536875 | Children's Bureau Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 868 N Manassas St, Memphis, TN 38107-2516 | 2011-10-31 |
| 1629307046 | Arthur Lee Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 5425 Meadowick Ave, Memphis, TN 38115-3643 | 2009-12-14 |
| 1558916213 | Youth Villages, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 7410 Memphis Arlington Rd, Memphis, TN 38135-1908 | 2019-08-08 |
| 1356783195 | Daughters of Zion All Women's Bible College | Residential Treatment Facility, Emotionally Disturbed Children | 4400 Hickory Hill Rd, Memphis, TN 38141-6818 | 2013-07-22 |
| 1699878728 | Sacred Heart | Residential Treatment Facility, Emotionally Disturbed Children | 400 Stoddard Rd., Memphis, MI 48041 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043663495 | Tennessee Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 8550 Harold Duncan Way, Knoxville, TN 37931 | 2016-07-21 |
| 1588973309 | Lamont Ingram Developmental Organization | Residential Treatment Facility, Emotionally Disturbed Children | 437 Riverside Dr, Jackson, TN 38301-5720 | 2010-09-28 |
| 1073820130 | Tennessee Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 804 Branham Hughes Circle, Springhill, TN 37174-2623 | 2010-09-09 |
| 1427132786 | Parkwest Medical Center | Residential Treatment Facility, Emotionally Disturbed Children | 2341 Jones Bend Rd, Louisville, TN 37777 | 2006-10-24 |
| 1164417465 | Cassandra Woodruff Youth Center | Residential Treatment Facility, Emotionally Disturbed Children | 605 Hemphill Cir, Chattanooga, TN 37411-2912 | 2005-09-13 |
| 1922651348 | Youth Villages, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2890 Bekemeyer Dr, Arlington, TN 38002-9522 | 2019-07-24 |
| 1629504980 | Inna N Lyons | Residential Treatment Facility, Emotionally Disturbed Children | 332 Sumner Hall Dr, Gallatin, TN 37066-3129 | 2017-05-05 |
| 1144752841 | Rite of Passage Inc | Residential Treatment Facility, Emotionally Disturbed Children | 216 Centerview Dr, Suite 317, Brentwood, TN 37027-3226 | 2017-03-31 |
| 1982044095 | Parents Helping Intercede In The Lives of Adolescents In North Caro | Residential Treatment Facility, Emotionally Disturbed Children | 836 W 1st North St, Morristown, TN 37814-4548 | 2013-07-03 |
| 1538498555 | Emmanuel Treatment Center | Residential Treatment Facility, Emotionally Disturbed Children | 101 Main Street, Ethridge, TN 38456 | 2009-12-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.