institution
Specialized Youth Services Of Va, Inc
Mental Health Counselor in Petersburg, Virginia
NPI 1366513715

Specialized Youth Services Of Va, Inc is a Mental Health Counselor based in Petersburg, VA and is specialized in Mental Health. Specialized Youth Services Of Va, Inc practices in Petersburg, VA. The NPI Number for Specialized Youth Services Of Va, Inc is 1366513715 and holds a License No. 328 (Virginia).

The current practice location address for Specialized Youth Services Of Va, Inc is 230 S Crater Rd, Petersburg, VA and can be reached out via phone at 804-733-2180 and via fax at 804-733-8502.

Location: 230 S Crater Rd, Petersburg, VA, 23803-4424
institution
Provider Profile Details
NPI Number
1366513715
Provider Name
Specialized Youth Services Of Va, Inc
Credential
Provider Entity Type
Organization
Address
230 S Crater Rd, Petersburg, VA, 23803-4424
Phone Number
804-733-2180
Fax Number
804-733-8502
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010026725 05 VA
010048621 05 VA
institution
Provider Business Practice Location Address Details
Address
230 S Crater Rd
City
State
Zip
23803-4424
Phone Number
804-733-2180
Fax Number
804-733-8502
person
Provider Business Mailing Address Details
Address
230 S Crater Rd
City
State
Zip
23803-4424
Phone Number
804-733-2180
Fax Number
804-733-8502
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
328 (Virginia)
Definition
Definition to come...
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