Youth Impact Mental Health Company

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

YOUTH IMPACT MENTAL HEALTH COMPANY

Practice address

14918 Litton Dr
Midlothian, VA 23112-4765

Phone

(804) 307-4660

NPI assigned

May 16, 2024

Last updated

May 16, 2024By 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

Mr. Travis Woods Jr., QMHPNPI 1508750225

Title

Owner - Ceo

Phone

(804) 307-4660

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, and the practitioner matching its NPPES authorized official.

• Travis Woods Jr.

  • Mental Health Counselor
  • Chesterfield, VA
  • NPI 1508750225
  NPD Authorized official

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1518716984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10221 KRAUSE RD UNIT 81",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238321204",
            "telephone_number": "804-307-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14918 LITTON DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124765",
            "telephone_number": "804-307-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH IMPACT MENTAL HEALTH COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER - CEO",
        "authorized_official_telephone_number": "804-307-4660",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "QMHP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen C Young, M.D.
• David Younkins, LMT, CNS
• Elizabeth Towsey Yount, LCSW
• Your Personal Pharmacist, PLLC
• Youth Diversity Coaltion
• Gabrielle Yow, DPT
• John Stephen Zachary, M.D.
• Zadkeilcare LLC
• Tarif Ihsan Zaki, CERTIFIED ORTHOTIST
• Hollie Zammit, RD

• Community/Behavioral Health Agency in Midlothian, VA
• Providers in Midlothian, 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 May 16, 2024; 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.