Step N Up Youth Services, LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

1231 Issued in VA

Legal business name

STEP N UP YOUTH SERVICES, LLC

Practice address

20014 Oakland Ave
Colonial Heights, VA 23834-5709

Phone

(804) 504-5066

Fax

(804) 504-5067

NPI assigned

Sep 24, 2009

Last updated

Sep 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kelly Lawson Campbell

Title

Cao/PD

Phone

(804) 504-5066

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1326372244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20014 OAKLAND AVE",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238345709",
            "telephone_number": "804-504-5066",
            "fax_number": "804-504-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20014 OAKLAND AVE",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238345709",
            "telephone_number": "804-504-5066",
            "fax_number": "804-504-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP N UP YOUTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "LAWSON",
        "authorized_official_title_or_position": "CAO/PD",
        "authorized_official_telephone_number": "804-504-5066",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "VA",
            "license": "1231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mildred C Spiers, F.N.P.
• William A Squires, MD
• Michael Alan Stansfield, D.D.S.
• Star Taxi Transportation
• Douglas S Stell III, LPC
• Teresa Hawkins Stillion, M.D.
• Leland Stillman, MD
• Poovillam S Subramaniam-Moothathu, MD, FAAN, FAHA, CIME
• Summit Health Care, Inc. (Riverview Physicians For Women)
• Supportive Care of Virginia LLC

• Emotionally Disturbed Childrens' Residential Treatment Facility in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.