Organization Active NPI

Youth Empowerment Success Services

  • Community/Behavioral Health Agency
  • College Park, GA
National Provider Identifier
1619836814
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
YOUTH EMPOWERMENT SUCCESS SERVICES
Practice address
1635 Phoenix Blvd Ste 7
College Park, GA 30349-5549
Phone
(770) 217-7845
NPI assigned
Jan 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Ebony Harris
Title
Ceo
Phone
(770) 217-7845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1635 Phoenix Blvd Ste 7
College Park, GA 30349-5549

Mailing address

1635 Phoenix Blvd Ste 7
College Park, GA 30349-5549

National Provider Directory

National Provider Directory

Locations

1635 Phoenix Blvd
Ste 7
College Park, GA 30349
Phone (770) 217-7845

NPI Registry JSON

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

{
    "created_epoch": "1768953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1619836814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 PHOENIX BLVD STE 7",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 PHOENIX BLVD STE 7",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495549",
            "telephone_number": "770-217-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH EMPOWERMENT SUCCESS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-21",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-217-7845"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.