Life Young Adult Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFE YOUNG ADULT SERVICES, LLC

Practice address

3105 W Marshall St
Suite 208-212
Richmond, VA 23230-4729

Phone

(804) 658-1096

NPI assigned

Jul 22, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Kemberly Liles Rainney, L.P.C., L.S.A.T.P.NPI 1821204959

Title

Vice President/Coo

Phone

(804) 248-6964

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kemberly Liles Rainney, L.P.C., L.S.A.T.P.

  • Professional Counselor
  • Moseley, VA
  • NPI 1821204959
  NPD Authorized official

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1467765198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6013 MANOR HOUSE TRL",
            "city": "MOSELEY",
            "state": "VA",
            "postal_code": "231202248",
            "telephone_number": "804-248-6964",
            "fax_number": "804-279-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 W MARSHALL ST",
            "address_2": "SUITE 208-212",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304729",
            "telephone_number": "804-658-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE YOUNG ADULT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "RAINNEY",
        "authorized_official_first_name": "KEMBERLY",
        "authorized_official_middle_name": "LILES",
        "authorized_official_title_or_position": "VICE PRESIDENT/COO",
        "authorized_official_telephone_number": "804-248-6964",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.P.C., L.S.A.T.P."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Richmond, VA
• Providers in Richmond, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.