YOUTH HEALTH SERVICE, INC. (NPI# 1124275300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124275300 |
| Entity Type | Organization |
| Organization Name | YOUTH HEALTH SERVICE, INC. |
| Practice Address |
971 Harrison Avenue Elkins WV 26241 |
| Practice Telephone | 3046369450 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |
| Authorized Official Name | MARGY BURNS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3046369450 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
18352 | WV | Behavioral Health & Social Service Providers |
| Street Address |
971 HARRISON AVENUE |
| City | ELKINS |
| State | WV |
| Zip Code | 26241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093935017 | Barry Lynn Row | Marriage & Family Therapist | 971 Harrison Avenue, Youth Health Services, Elkins, WV 26241 | 2007-05-01 |
| 1235660598 | Brandy English | Counselor | 971 Harrison Avenue, Elkins, WV 26241 | 2017-03-27 |
| 1366799561 | Youth Health Service Inc | Social Worker | 971 Harrison Avenue, Youth Health Service Inc, Elkins, WV 26241 | 2012-08-07 |
| 1023224813 | Kelly Lynn Rayfield | Case Manager/Care Coordinator | 971 Harrison Avenue, Elkins, WV 26241 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507625 | Cindy Phillips | Technician | 2068 Files Creek Road, Elkins, WV 26241 | 2020-10-30 |
| 1316544224 | Brittany Underwood | Technician | 27 Midway Loop Rd., Elkins, WV 26241 | 2020-10-04 |
| 1740895820 | Brandie Elaine Lambert | Technician | 1 Fifth Street, Elkins, WV 26241 | 2020-09-15 |
| 1174134118 | Sherri Lynn Stahl | Technician | 36 Midland Street, Elkins, WV 26241 | 2020-08-13 |
| 1447861489 | Gwyn Esther Reynolds | Technician | 2685 Wesley Chapel Rd, Dunmore, WV 26241 | 2020-08-13 |
| 1578173092 | Stephen Foy | Technician | 216 Davis Street, Elkins, WV 26241 | 2020-08-10 |
| 1497364913 | Renee Taylor | Technician | Lot 12 Valley View Mhp, Elkins, WV 26241 | 2020-07-30 |
| 1811506959 | Roxanna E Cooper | Case Manager/Care Coordinator | #1 Fifth Street, Elkins, WV 26241 | 2020-07-24 |
| 1194379479 | Kevin Robert Lambert | Optometrist | 205 Chenoweth Creek Rd, Elkins, WV 26241 | 2019-07-25 |
| 1003318841 | Anna Foster | Nurse Practitioner | 911 Gorman Ave. #201, Elkins, WV 26241 | 2018-03-07 |
| Find all providers in zip 26241 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316396062 | Bradley Dean Gault | Psychologist | 98 Liberty Ln, Mineral Wells, WV 26150-1605 | 2016-06-03 |
| 1548482896 | Christina M. Arco, Phd Pllc | Psychologist | 1013 B Oakhurst Drive, Charleston, WV 25314 | 2007-05-03 |
| 1619041738 | Elizabeth A Jennings | Psychologist | 1705 Jefferson St, Bluefield, WV 24701-4013 | 2006-11-20 |
| 1548362247 | Holly A Cloonan | Psychologist | 3200 Maccorkle Ave Se Fl 5, Charleston, WV 25304-1227 | 2006-09-02 |
| 1073563185 | Christina M Arco | Psychologist | 1013b Oakhurst Dr, Charleston, WV 25314-2049 | 2006-05-11 |
| 1487904918 | Jocelyn Joy Brown | Psychologist | 800 Pennsylvania Ave, Charleston, WV 25302-3351 | 2012-09-12 |
| 1164559860 | Tammy Morgan Hamner | Psychologist | 917 W Main St, Harron Square, Suite 203, Bridgeport, WV 26330-1650 | 2007-02-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.