Organization Active NPI

Youth Experiencing Success Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Richmond, VA
National Provider Identifier
1982801627
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
SS-180-07 Issued in VA
Legal business name
YOUTH EXPERIENCING SUCCESS INC
Practice address
2804 2ND Ave
Richmond, VA 23222-3909
Phone
(804) 329-5200
Fax
(804) 329-5202
NPI assigned
Jun 27, 2007
Organization subpart
Yes
Parent organization
YOUTH EXPERIENCING SUCCESS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Miss Veronica Love Hicks, MS
Title
Ceo
Phone
(804) 329-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X SS-180-07 VA Primary

Addresses

Primary practice location

2804 2ND Ave
Richmond, VA 23222-3909

Mailing address

2804 2ND Ave
Richmond, VA 23222-3909
Phone (804) 329-5200

National Provider Directory

National Provider Directory
Tax ID family
Youth Experiencing Success Inc2 organizations share this tax ID, including this one
Part of
Youth Experiencing Success Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1982801627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 2ND AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232223909",
            "telephone_number": "804-329-5200",
            "fax_number": "804-329-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 2ND AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232223909",
            "telephone_number": "804-329-5200",
            "fax_number": "804-329-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH EXPERIENCING SUCCESS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOUTH EXPERIENCING SUCCESS INC",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "LOVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-329-5200",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "VA",
            "license": "SS-180-07",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.