Youth Excel and Advancement, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

YOUTH EXCEL AND ADVANCEMENT, LLC

Practice address

4222 Bonniebank Rd
Suite 101
Richmond, VA 23234-6602

Phone

(804) 986-7036

Fax

(804) 303-8657

NPI assigned

Aug 19, 2010

Organization subpart

No

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

Authorized official

Name

Mario Oneal Haskett Sr., BA, SOCIOLOGY

Title

Owner

Phone

(804) 986-7036

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1730495482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 BONNIEBANK RD STE 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232346633",
            "telephone_number": "804-986-7036",
            "fax_number": "804-303-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 BONNIEBANK RD",
            "address_2": "SUITE 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232346602",
            "telephone_number": "804-986-7036",
            "fax_number": "804-303-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH EXCEL AND ADVANCEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "HASKETT",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "ONEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-986-7036",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "BA, SOCIOLOGY"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Youth Development Counseling Agency
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• Youth Diversity Coalition, L.L.C.
• Youth Empowerment Services, Inc.
• Youth Experiencing Success Inc
• Youth Experiencing Success, Inc.
• Youth Innovations & Development L.L.P.
• Youth Pathways LLC
• Youth Residential Services of Virginia, Inc.

• 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 Aug 19, 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.