YOUTH FOR TOMORROW NEW LIFE CENTER INC (NPI# 1770826752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770826752 |
| Entity Type | Organization |
| Organization Name | YOUTH FOR TOMORROW NEW LIFE CENTER INC |
| Practice Address |
11835 Hazel Circle Dr Bristow VA 20136-2180 |
| Practice Telephone | 7033687995 |
| Practice Fax Number | 7033614335 |
| Mailing Telephone | 7033687995 |
| Mailing Fax Number | 7033614335 |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2013-03-28 |
| Authorized Official Name | DAVE LOOP (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7033967234 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 1953-05-001 | VA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265775241 | Youth for Tomorrow New Life Center Inc | Community/Behavioral Health | 11835 Hazel Circle Dr, Bristow, VA 20136-2180 | 2013-03-28 |
| Street Address |
11835 HAZEL CIRCLE DR |
| City | BRISTOW |
| State | VA |
| Zip Code | 20136-2180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316118292 | Youth for Tomorrow New Life Center, Inc. | Counselor | 11835 Hazel Circle Dr, Bristow, VA 20136-2180 | 2008-03-18 |
| 1750907762 | Christen Panissidi | Social Worker | 11835 Hazel Circle Dr, Bristow, VA 20136-1223 | 2020-06-25 |
| 1760019376 | Deandra Lynn Payne-allen | Counselor | 11835 Hazel Circle Dr, Bristow, VA 20136-1223 | 2020-03-24 |
| 1285260315 | Elvia Del Carmen Pina | Counselor | 11835 Hazel Circle Dr, Bristow, VA 20136-2180 | 2020-03-20 |
| 1902370109 | Youth for Tomorrow New Life Center, Inc. | Clinic/Center | 11835 Hazel Circle Dr, Bristow, VA 20136-2180 | 2019-01-22 |
| 1033604368 | Natalia Becker | Counselor | 11835 Hazel Circle Dr, Bristow, VA 20136-1223 | 2018-06-28 |
| 1184145310 | Meagan A Caesar | Counselor | 11835 Hazel Circle Dr, Bristow, VA 20136-2180 | 2017-06-28 |
| 1124478979 | Jessica Renee Miller | Social Worker | 11835 Hazel Circle Dr, Bristow, VA 20136-1223 | 2016-06-13 |
| 1720450943 | Carl Street | Counselor | 11835 Hazel Circle Dr, Bristow, VA 20136-2180 | 2015-10-27 |
| 1144619305 | Naomi Britton | Counselor | 11835 Hazel Circle Dr, Bristow, VA 20136-2180 | 2015-01-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518405802 | Dharika Bhavsar | Nurse Practitioner | 12207 Desoto Falls Ct, Bristow, VA 20136 | 2017-02-07 |
| 1902284649 | Paul Choi | Physical Therapist | 6858 Old Dominion Drive, Mclean, VA 20136 | 2015-05-14 |
| 1700123031 | Sunlight Home Care Agency | Home Health | 8902 Stable Forest Pl, Bristow, VA 20136 | 2013-01-07 |
| 1437407996 | Elizabeth Michelle Bender | Specialist/Technologist | 12171 Hopper Lane, Bristow, VA 20136 | 2012-08-15 |
| 1477793966 | Pediatrics First Speech Therapy | Speech-Language Pathologist | 10056 Pentland Hills Way, Bristow, VA 20136 | 2009-02-24 |
| 1750599247 | Harris Teeter, LLC | Pharmacy | 10438 Bristow Center Dr., Bristow, VA 20136 | 2007-05-18 |
| 1588760490 | Margaret Precious Neal-stubblefield | Dentist | 12701 Braemar Village Plaza, Bristow, VA 20136 | 2006-09-16 |
| 1538726203 | Brightstone, LLC | Family Medicine | 10040 Pentland Hills Way, Bristow, VA 20136 | 2019-05-28 |
| 1578766036 | Kevin Wade Toms | Dentist | 9070 Devlin Rd, #140, Bristow, VA 20136-1041 | 2007-06-11 |
| 1407011869 | Michelle Klima Toms | Dentist | 9070 Devlin Rd, Suite 140, Bristow, VA 20136-1041 | 2008-07-25 |
| Find all providers in zip 20136 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578119236 | Precision Aba Group of Virginia Inc | Community/Behavioral Health | 12257 Sherborne St, Bristow, VA 20136-2018 | 2019-08-16 |
| 1497292551 | Life's Journey Counseling Services, LLC | Community/Behavioral Health | 307 W 4th Ave, Bristow, OK 74010-2804 | 2017-01-27 |
| 1265775241 | Youth for Tomorrow New Life Center Inc | Community/Behavioral Health | 11835 Hazel Circle Dr, Bristow, VA 20136-2180 | 2013-03-28 |
| 1336388081 | Benedictine Counseling Services | Community/Behavioral Health | 9535 Linton Hall Rd, Bristow, VA 20136-1217 | 2009-02-19 |
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|---|---|---|---|---|
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| 1861090615 | Energy for Life, LLC | Community/Behavioral Health | 2600 Brownstone Cir, Williamsburg, VA 23185-8321 | 2020-10-14 |
| 1093313868 | Tri Counties Behavioral Health Services, LLC | Community/Behavioral Health | 1807 Piney Woods Road, Lawrenceville, VA 23868 | 2020-10-14 |
| 1275140626 | Savoy Wellness Center LLC | Community/Behavioral Health | 1209 N 32nd St, Richmond, VA 23223-6711 | 2020-09-29 |
| 1700493582 | Therapeutic Services of Virginia | Community/Behavioral Health | 101 Deep Creek Rd, Newport News, VA 23606-2219 | 2020-09-25 |
| 1801402995 | Strategic Therapy Associates, Inc. | Community/Behavioral Health | 150 W Main St Ste E, Wytheville, VA 24382-2376 | 2020-09-23 |
| 1396351193 | Maxim Healthcare Services Inc. | Community/Behavioral Health | 293 Independence Blvd Ste 400, Virginia Beach, VA 23462-5461 | 2020-09-17 |
| 1083228902 | Lr Counseling Services, LLC | Community/Behavioral Health | 5000 Owens Way, Apt. 622, Prince George, VA 23875 | 2020-09-08 |
| 1073127411 | Youth Outreach Services | Community/Behavioral Health | 7050 Lakota Dr Apt 301, Woodbridge, VA 22192-5392 | 2020-09-02 |
| 1053924803 | Foundation of Hope Mental Health Services LLC | Community/Behavioral Health | 857 Hardwood Dr, Chesapeake, VA 23320-9215 | 2020-08-30 |
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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.