Youth Experiencing Success, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

SS-04-07 Issued in VA

Legal business name

YOUTH EXPERIENCING SUCCESS, INC.

Practice address

2804 2ND Avenue
Richmond, VA 23222-3909

Phone

(804) 329-5200

Fax

(804) 329-5202

NPI assigned

Oct 4, 2006

Organization subpart

Yes

Parent organization

YOUTH EXPERIENCING SUCCESS, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Veronica Hicks L. Hicks, M.S.

Title

Chief Executive Officer Owner

Phone

(804) 329-5200

Specialties & licenses 2

Addresses

Other names 1

• Trading as T/A Dot's Place Doing business as

Tax ID family

Youth Experiencing Success Inc2 organizations share this tax ID, including this one

Part of

Youth Experiencing Success Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Youth Experiencing Success Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Richmond, VA
  • NPI 1982801627
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1164517157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 2ND AVENUE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232223909",
            "telephone_number": "804-329-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 2ND AVENUE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232223909",
            "telephone_number": "804-329-5200",
            "fax_number": "804-329-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH EXPERIENCING SUCCESS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOUTH EXPERIENCING SUCCESS, INC.",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "VERONICA HICKS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER OWNER",
        "authorized_official_telephone_number": "804-329-5200",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "VA",
            "license": "SS-04-07",
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "VA",
            "license": "SS-04-07",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trading as T/A Dot's Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Youth Development Counseling Agency, Inc.
• Youth Diversity Coalition, L.L.C.
• Youth Empowerment Services, Inc.
• Youth Excel and Advancement, LLC
• Youth Experiencing Success Inc
• Youth Innovations & Development L.L.P.
• Youth Pathways LLC
• Youth Residential Services of Virginia, Inc.
• Youth Services of Virginia
• Jiade Yu, MD

• Mental Illness Community Based Residential Treatment Facility in Richmond, VA
• Providers in Richmond, VA by specialty
• Mental Illness Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.