Active NPI
Youth Empowerment Solutions, LLC
- Mental Illness Community Based Residential Treatment Facility
- Concord, NC
National Provider Identifier
1770475899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- YOUTH EMPOWERMENT SOLUTIONS, LLC
- Practice address
- 409 Hunton Forest Dr NW
Concord, NC 28027-0186 - Phone
- (704) 904-1770
- NPI assigned
- Jul 15, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nicole Gomez
- Title
- Executive Director
- Phone
- (704) 904-1770
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary | ||
| Child Mental Illness Respite Care | 385HR2055X |
Addresses
Primary practice location
409 Hunton Forest Dr NW
Concord, NC 28027-0186
Mailing address
7308 E Independence Blvd Ste Cv316
Charlotte, NC 28227-9448
Phone (704) 904-1770
National Provider Directory
National Provider DirectoryLocations
7308 E Independence Blvd
Ste CV316
Charlotte, NC 28227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752537600000",
"number": "1770475899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7308 E INDEPENDENCE BLVD STE CV316",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282279448",
"telephone_number": "704-904-1770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 HUNTON FOREST DR NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280270186",
"telephone_number": "704-904-1770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUTH EMPOWERMENT SOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-15",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A",
"authorized_official_last_name": "GOMEZ",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "704-904-1770",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"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": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
},
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.