YOUTH CONNECT OF VIRGINIA, INC. (NPI# 1972093987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972093987 |
| Entity Type | Organization |
| Organization Name | YOUTH CONNECT OF VIRGINIA, INC. |
| Other Organization Name | YOUTH CONNECT OF VA |
| Practice Address |
370 Tanyard Rd Rocky Mount VA 24151 |
| Mailing Address |
Po Box 1104 Rocky Mount VA 24151-8104 |
| Practice Telephone | 5404885636 |
| Mailing Telephone | 5404885636 |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2019-09-02 |
| Authorized Official Name | TAYLOR KYLE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5404885636 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 601363955 | 05 |
| Other Name | Type Code |
|---|---|
| Youth Connect of VA | Other Name - Individual/Organization |
| Street Address |
370 TANYARD RD |
| City | ROCKY MOUNT |
| State | VA |
| Zip Code | 24151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144862764 | Courtney Joyce Poage | Counselor | 370 Tanyard Rd, Rocky Mount, VA 24151-1554 | 2019-10-15 |
| 1447809348 | Taylor Kyle | Counselor | 370 Tanyard Rd, Rocky Mount, VA 24151-1554 | 2019-09-04 |
| 1942859848 | Lakita Ann Goins | Counselor | 370 Tanyard Rd, Rocky Mount, VA 24151-1554 | 2019-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568975696 | Kathleen Conway | Speech-Language Pathologist | 25 Bernard Road, Rocky Mount, VA 24151 | 2017-11-11 |
| 1639581960 | Kylie Morris | Family Medicine | 390 S Main St Ste 201, Rocky Mount, VA 24151 | 2014-05-21 |
| 1366791972 | Free Clinic of Franklin County | Clinic/Center | 1171 Franklin Street, Rocky Mount, VA 24151 | 2012-08-29 |
| 1760786115 | Rick H Orange | Pharmacist | 200 Parkside Ln, Rocky Mount, VA 24151 | 2010-12-28 |
| 1952455875 | Rocky Mount Chiropractic Inc | Chiropractor | 546 Pell Ave, Rocky Mount, VA 24151 | 2007-01-22 |
| 1912065277 | Becker Clinic Ltd | Chiropractor | 1533 Franklin Street, Rocky Mount, VA 24151 | 2006-12-05 |
| 1952476244 | Accident and Injury Chiropractic PC | Chiropractor | Accident and Injury Chiropractic PC, 20385 Virgil H Goode Hwy Ste 1, Rocky Mount, VA 24151 | 2006-11-21 |
| 1548352602 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 365 Pell Ave, Rocky Mount, VA 24151 | 2006-09-28 |
| 1073611422 | Cathy Zoe Ford | Dentist | 490 S Main Street, Suite 201, Rocky Mount, VA 24151 | 2006-09-20 |
| 1801993118 | Goodwill Industries of The Valleys - Rocky Mount | Day Training, Developmentally Disabled Services | 1045 North Main Street, Rocky Mount, VA 24151 | 2006-09-20 |
| Find all providers in zip 24151 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235502675 | Deanna Dick | Counselor | 110 Franklin St Ste A, Rocky Mount, VA 24151-1352 | 2015-11-06 |
| 1114324084 | George Shell | Counselor | 2433 Shreve Rd, Rocky Mount, NC 27801-5110 | 2014-11-20 |
| 1891048492 | Premier Healthcare Solutions | Counselor | 1120 Nashville Rd, Rocky Mount, NC 27803-2433 | 2012-10-19 |
| 1760756084 | Elizabeth Ashley Callahan | Counselor | 235 Claiborne Ave, Suite 200, Rocky Mount, VA 24151-1438 | 2012-03-05 |
| 1780954891 | Erica Byrd Wright | Counselor | 1233 Fairway Ter, Rocky Mount, NC 27804-9619 | 2012-01-05 |
| 1770867152 | Starting Pointe, Inc. | Counselor | 301 South Church Street, Suite 270, Rocky Mount, NC 27804-5749 | 2011-10-04 |
| 1174844120 | Barbara Judy Davis | Counselor | 3620 Woodlawn Rd, Rocky Mount, NC 27804-3348 | 2010-06-14 |
| 1467779603 | Straight Walk Family Services,inc | Counselor | 3208 Sunset Ave Ste B, Rocky Mount, NC 27804-3590 | 2010-04-28 |
| 1295908556 | Evora Carlton | Counselor | 1817 Lynne Ave, Rocky Mount, NC 27801-6327 | 2008-04-08 |
| 1730382920 | Carenet, Inc. | Counselor | 1501 Sunset Ave, Rocky Mount, NC 27804-5014 | 2007-06-06 |
| Find all providers in ROCKY MOUNT | ||||
| City | ROCKY MOUNT |
| Zip Code | 24151 |
Please comment or provide details below to improve the information on YOUTH CONNECT OF VIRGINIA, INC..
| 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.