Youth Visionary Minds LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

YOUTH VISIONARY MINDS LLC

Practice address

8918 Tesoro Dr. Suite 200
San Antonio, TX 78217

Phone

(804) 714-6079

NPI assigned

Oct 18, 2024

Organization subpart

No

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

Authorized official

Name

Keewauna Jones

Title

Owner

Phone

(804) 714-6079

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739664000000",
    "number": "1740001114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5473 BLAIR RD",
            "address_2": "STE 100 #895865",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75231",
            "telephone_number": "804-714-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8918 TESORO DR. SUITE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78217",
            "telephone_number": "804-714-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH VISIONARY MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2025-02-16",
        "certification_date": "2025-02-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KEEWAUNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-714-6079"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2025; 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.