A Village Youth & Family Services Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

A VILLAGE YOUTH & FAMILY SERVICES INC.

Practice address

625 Piney Forest Rd Ste 302D
Danville, VA 24540-2869

Phone

(434) 264-7760

Fax

(804) 225-0753

NPI assigned

May 24, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Khidhra Smith Poole, LCSW, DSW

Title

Owner

Phone

(804) 225-0749

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

A Village Youth Family Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• A Village Youth & Family Services Inc.

  • Community/Behavioral Health Agency
  • Richmond, VA
  • NPI 1093138455
  NPD tax ID
• A Village Youth & Family Services Inc.

  • Non-emergency Medical Transport (VAN)
  • Richmond, VA
  • NPI 1902349293
  NPD tax ID

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1255822375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 E MAIN ST STE 104",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232237072",
            "telephone_number": "042-250-7498",
            "fax_number": "804-225-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 PINEY FOREST RD STE 302D",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245402869",
            "telephone_number": "434-264-7760",
            "fax_number": "804-225-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A VILLAGE YOUTH & FAMILY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "KHIDHRA",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-225-0749",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW, DSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093138455",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• A&B Family Focus, P.S.
• Ab Counseling Services, P.C.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Danville, VA
• Providers in Danville, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.