YOUTH VILLAGES, INC.

Provider Demographics

• NPI: 1306875695
• Name: YOUTH VILLAGES, INC.
• Entity type: Organization
• Organization Name: YOUTH VILLAGES, INC.
• Authorized Official - Title/Position: CEO
• Authorized Official - Prefix: MR
• Authorized Official - First Name: PATRICK
• Authorized Official - Middle Name: W
• Authorized Official - Last Name: LAWLER
• Authorized Official - Phone: 901-251-5000
• Mailing Address - Street 1: 3320 BROTHER BLVD
• Mailing Address - City: BARTLETT
• Mailing Address - State: TN
• Mailing Address - Zip Code: 38133-8950
• Mailing Address - Country: US
• Mailing Address - Phone: 901-251-5000
• Mailing Address - Fax: 901-251-5001
• Practice Address - Street 1: 3320 BROTHER BLVD
• Practice Address - City: BARTLETT
• Practice Address - State: TN
• Practice Address - Zip Code: 38133-8950
• Practice Address - Country: US
• Practice Address - Phone: 901-251-5000
• Practice Address - Fax: 901-251-5001
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-07-01
• Last Update Date: 2025-07-02

Provider Licenses

State	License ID	Taxonomies
FL		251B00000X
		261QM0855X, 322D00000X, 323P00000X, 251S00000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	251S00000X	Agencies	Community/Behavioral Health
No	251B00000X	Agencies	Case Management
No	261QM0855X	Ambulatory Health Care Facilities	Clinic/Center	Adolescent and Children Mental Health
No	322D00000X	Residential Treatment Facilities	Residential Treatment Facility, Emotionally Disturbed Children
No	323P00000X	Residential Treatment Facilities	Psychiatric Residential Treatment Facility

Provider Identifiers

State	Identifier ID	ID Type	Issuer
TN	1457663	Medicaid
MS	00220083	Medicaid
GA	330507828A	Medicaid
NC	8301233	Medicaid
AL	339087000	Medicaid
NC	8302444	Medicaid
NC	8303056	Medicaid
NC	8703175	Medicaid
AL	339091614	Medicaid
MS	00220175	Medicaid
DC	037008300	Medicaid
AR	119304725	Medicaid
WY	123255000	Medicaid
NC	8300866H	Medicaid
NC	8300970	Medicaid
NC	8301314	Medicaid
NC	8302182	Medicaid
NC	8302614	Medicaid
NC	8302856	Medicaid
GA	330507828B	Medicaid
AL	339087005	Medicaid
NC	8301432	Medicaid
AL	339091714	Medicaid
NC	3410174	Medicaid
NC	8300866	Medicaid
NC	8302107	Medicaid