YOUTH EXPERIENCING SUCCESS INC (NPI# 1982801627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982801627 |
| Entity Type | Organization |
| Organization Name | YOUTH EXPERIENCING SUCCESS INC |
| Practice Address |
2804 2nd Ave Richmond VA 23222-3909 |
| Practice Telephone | 8043295200 |
| Practice Fax Number | 8043295202 |
| Mailing Telephone | 8043295200 |
| Mailing Fax Number | 8043295202 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2007-08-07 |
| Authorized Official Name | MISS VERONICA LOVE HICKS (CEO) |
| Authorized Official Telephone | 8043295200 |
| Authorized Official Credential | MS |
| Is Organization Subpart | Y |
| Parent Organization Name | YOUTH EXPERIENCING SUCCESS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | SS-180-07 | VA | Residential Treatment Facilities |
| Street Address |
2804 2ND AVE |
| City | RICHMOND |
| State | VA |
| Zip Code | 23222-3909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741832 | Ruth Rebecca Gough | Technician | 2105 Greenwood Ave, Richmond, VA 23222 | 2019-10-11 |
| 1639664469 | Leaanna H Miller | Midwife | 3416 Hawthorne Ave, Richmond, VA 23222 | 2018-06-25 |
| 1093206088 | Christina Sherelle Bowman-peterson | Social Worker | 2300 First Avenue, Richmond, VA 23222 | 2018-05-24 |
| 1548773948 | Ann Ward | Counselor | 2217 E. Franklin Street, Richmond, VA 23222 | 2017-11-08 |
| 1043720501 | Coreena Eleanor Barnes | Case Manager/Care Coordinator | 3506 Westcliffe Ave, Richmond, VA 23222 | 2017-10-10 |
| 1326450586 | Breaking Barriers In Schools & Communities,llc | Case Management | 3610 Noble Avenue, Richmond, VA 23222 | 2014-05-22 |
| 1730365768 | A Better Look Home Improvement | Durable Medical Equipment & Medical Supplies | 7 King Street, Richmond, VA 23222 | 2008-01-22 |
| 1588735955 | Lillie Robinson Bennett | Pediatrics | 2809 North Avenue, #201, Richmond, VA 23222 | 2006-11-10 |
| 1952481962 | Deniese Counts Melenbrink | Social Worker | 705 Dawn Street, Richmond, VA 23222 | 2006-10-16 |
| 1588828040 | Susan M Kohler Lpc LLC | Counselor | 907 Westwood Ave, Richmond, VA 23222 | 2008-07-14 |
| Find all providers in zip 23222 | ||||
| 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 |
|---|---|---|---|---|
| 1063030054 | Life's Purpose | Residential Treatment Facility, Emotionally Disturbed Children | 1211 Lark Ln, Richmond, TX 77469-7803 | 2020-07-07 |
| 1871099721 | Imagination LLC | Residential Treatment Facility, Emotionally Disturbed Children | 318 N Wilkinson Rd, Richmond, VA 23227-1631 | 2018-03-31 |
| 1336454552 | Wernle Youth & Family Treatment Center | Residential Treatment Facility, Emotionally Disturbed Children | 2000 Wernle Rd, Richmond, IN 47374-7015 | 2010-08-12 |
| 1053641167 | Postive Outlook | Residential Treatment Facility, Emotionally Disturbed Children | 3601 Springtime Ct, Richmond, VA 23223-1692 | 2010-01-12 |
| 1568698165 | Hopes Haven Inc | Residential Treatment Facility, Emotionally Disturbed Children | 3515 Skipping Rock Way, Richmond, VA 23234-2971 | 2009-06-09 |
| 1356593693 | Jackson-feild Homes | Residential Treatment Facility, Emotionally Disturbed Children | 205 North Blvd, Richmond, VA 23220-4006 | 2008-10-17 |
| 1952567182 | Secure Haven Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 1706 Hungary Rd, Richmond, VA 23228-2335 | 2008-08-07 |
| 1134389943 | Gabrielle's House | Residential Treatment Facility, Emotionally Disturbed Children | 725 S Providence Rd, Richmond, VA 23236-3337 | 2008-06-15 |
| 1669649364 | Strong Girls, Smart Women LLC | Residential Treatment Facility, Emotionally Disturbed Children | 5210 Lingle Ln, Richmond, VA 23234-6618 | 2008-05-12 |
| 1225200827 | Back 2 Basics, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3808 Candlegrove Ct, Richmond, VA 23223-1440 | 2008-03-24 |
| Find all providers in RICHMOND | ||||
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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.