Organization Active NPI

Youthful Solutions, Inc.

  • Community/Behavioral Health Agency
  • Henderson, NC
National Provider Identifier
1710126396
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
YOUTHFUL SOLUTIONS, INC.
Practice address
314 S Garnett St
Henderson, NC 27536-4575
Phone
(336) 512-1288
NPI assigned
Feb 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Authorized official

Name
Mr. Sean Terrell Marshall
Title
Chief Executive Officer
Phone
(336) 512-1288

Specialties & licenses 1

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

Addresses

Primary practice location

314 S Garnett St
Henderson, NC 27536-4575

Mailing address

508 Hillview Dr
Durham, NC 27703-9637
Phone (336) 512-1288

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1710126396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 HILLVIEW DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277039637",
            "telephone_number": "336-512-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S GARNETT ST",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364575",
            "telephone_number": "336-512-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTHFUL SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "TERRELL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "336-512-1288",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.