Youth Life Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

YOUTH LIFE SERVICES, LLC

Practice address

10908 Courthouse Rd Ste 102149
Fredericksburg, VA 22408-2658

Phone

(540) 210-7624

NPI assigned

Sep 17, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Antaysia Thomas, LCSWNPI 1871061754

Title

President

Phone

(540) 210-7624

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Antaysia Thomas, LCSW

  • Clinical Social Worker
  • Fredericksburg, VA
  • NPI 1871061754
  NPD Authorized official
• Cynthia Coleman, MSW

  • Clinical Social Worker
  • Fredericksburg, VA
  • NPI 1497527147
  NPD

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1194331918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10908 COURTHOUSE RD STE 102149",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224082658",
            "telephone_number": "540-210-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10908 COURTHOUSE RD STE 102149",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224082658",
            "telephone_number": "540-210-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH LIFE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ANTAYSIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-210-7624",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Mary Young, LPC
• Katelyn Young
• Kevin Kendell Young, PA-C
• Scott Arnold Young, M.D.
• Rida M Younus, MD
• Youth of Promise
• Andy Christopher Yu, MD
• Jing Yuan
• John William Yurek, DO
• Lindsay Renee Yurisko, AU.D., CCC-A

• Clinical Social Worker in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.