NPIMap

Organization Active NPI

Youth Diversity Coaltion

  • Mental Illness Community Based Residential Treatment Facility
  • Midlothian, VA
National Provider Identifier
1992977797
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
SS22307 Issued in VA
Legal business name
YOUTH DIVERSITY COALTION
Practice address
8025 Hillcreek Dr
Midlothian, VA 23112-6847
Phone
(703) 371-0946
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Allana Jeffries Taylor, MSW, LCSW
Title
Administrator
Phone
(703) 371-0946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X SS22307 VA Primary

Addresses

Primary practice location

8025 Hillcreek Dr
Midlothian, VA 23112-6847

Mailing address

2916 Valley Side Ter
Richmond, VA 23223-1163
Phone (804) 228-3729

National Provider Directory

National Provider Directory
Tax ID family
Youth Diversity Coalition LLC2 organizations share this tax ID, including this one

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": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1992977797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 VALLEY SIDE TER",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232231163",
            "telephone_number": "804-228-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 HILLCREEK DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231126847",
            "telephone_number": "703-371-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH DIVERSITY COALTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ALLANA",
        "authorized_official_middle_name": "JEFFRIES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-371-0946",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "VA",
            "license": "SS22307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.