YOUTH FOR TOMORROW NEW LIFE CENTER, INC. (NPI# 1902370109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902370109 |
| Entity Type | Organization |
| Organization Name | YOUTH FOR TOMORROW NEW LIFE CENTER, INC. |
| Practice Address |
11835 Hazel Circle Dr Bristow VA 20136-2180 |
| Practice Telephone | 7036365100 |
| Practice Fax Number | 7033614335 |
| Mailing Telephone | 7036365100 |
| Mailing Fax Number | 7033614335 |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-01-22 |
| Authorized Official Name | LORI PEREZ (CONTROLLER) |
| Authorized Official Telephone | 7036365100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1316118292 | 05 |
| 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 |
| 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 |
| 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 |
| 1265775241 | Youth for Tomorrow New Life Center Inc | Community/Behavioral Health | 11835 Hazel Circle Dr, Bristow, VA 20136-2180 | 2013-03-28 |
| Find all providers in the same location | ||||
| 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 | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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| 1336651728 | Gregory A. Collier | Clinic/Center | 362 Peters Hollow Rd, Monroe, VA 24574-2789 | 2017-10-25 |
| 1750834511 | Rite Aid | Clinic/Center | 719 Sutherland Dr, Chesapeake, VA 23320-6641 | 2016-07-28 |
| 1477917136 | Lancie Lokis | Clinic/Center | 805 Knollwood Ct, Chesapeake, VA 23320-3237 | 2016-04-08 |
| 1497122535 | Better Morning | Clinic/Center | 20134 Prairie Dunes Ter, Ashburn, VA 20147-3191 | 2015-08-24 |
| 1083019335 | Health Hero Mid-atlantic, LLC | Clinic/Center | 10 Island View Dr, Newport News, VA 23602-7471 | 2014-10-29 |
| 1912302605 | Alexandria Health Department | Clinic/Center | 1200 North Howard, Alexandria, VA 22304 | 2014-10-24 |
| 1518366707 | Stephen Scarlata | Clinic/Center | 4446 Briarwood Ct S, Annandale, VA 22003-4836 | 2014-08-14 |
| 1053677690 | Leonard S Levine | Clinic/Center | 6205 Marilyn Dr, Alexandria, VA 22310-1520 | 2012-04-09 |
| 1700110970 | Blessed and Favored Home Health Inc | Clinic/Center | 5155 Ashborough Dr, Providence Forge, VA 23140-4472 | 2009-09-21 |
| 1548493984 | Arlington Free Clinic | Clinic/Center | 2921 South 11th St, Arlington, VA 22204 | 2009-09-02 |
| Find all providers with the same taxonomy | ||||
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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.