Henry and Rilla White Youth Foundation, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HENRY AND RILLA WHITE YOUTH FOUNDATION, INC.

Practice address

305 NW Christian CT
Lake City, FL 32055-4837

Phone

(185) 092-2837

NPI assigned

Aug 24, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Linda S. Durrance, MS

Title

Ceo

Phone

(850) 922-8375

Specialties & licenses 3

Addresses

Tax ID family

Henry and Rilla White Youth Foundation Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Henry and Rilla White Youth Foundation Inc.

  • Case Management Agency
  • Lake City, FL
  • NPI 1740672518
  NPD tax ID
• Henry and Rilla White Youth Foundation, Inc.

  • Case Management Agency
  • Lake City, FL
  • NPI 1336562677
  NPD tax ID
• The Henry & Rilla White Youth Foundation Inc

  • Community/Behavioral Health Agency
  • Lake City, FL
  • NPI 1952303737
  NPD tax ID

Practitioners 1

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

• Patricia Palmer Schossler, M.S.

  • Mental Health Counselor
  • Tallahassee, FL
  • NPI 1073682308
  NPD (past)

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1427725969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 REMINGTON GREEN CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323083752",
            "telephone_number": "185-092-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 NW CHRISTIAN CT",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554837",
            "telephone_number": "185-092-2837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2153 SE Hawthorne Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326417560",
            "country_code": "US",
            "telephone_number": "185-092-2837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HENRY AND RILLA WHITE YOUTH FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "DURRANCE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-922-8375",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devon L Henderson, RN
• Laretha Faye Hendon
• Hendrix, Smith, & Kirby LLC D/B/a Eastside Care Alf
• Henry and Rilla White Youth Foundation Inc.
• Henry and Rilla White Youth Foundation, Inc.
• Jasmin Henry-Fuller
• Edmund Henry Jr., RPN
• Sundae Herd, R.N
• Benjamin Robert Herget, DPT
• Jose Benito Hernandez Pasos, MD

• Community/Behavioral Health Agency in Lake City, FL
• Providers in Lake City, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.