Provider Demographics
NPI:1326133703
Name:YOUTH EMPOWERMENT SERVICES, INC.
Entity Type:Organization
Organization Name:YOUTH EMPOWERMENT SERVICES, INC.
Other - Org Name:LIFE COACH
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:PARSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:MS, JD, LLM, CPA
Authorized Official - Phone:804-310-2444
Mailing Address - Street 1:P.O. BOX 74051
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23236-0001
Mailing Address - Country:US
Mailing Address - Phone:804-310-2444
Mailing Address - Fax:804-674-9379
Practice Address - Street 1:7303 HULL STREET RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-5805
Practice Address - Country:US
Practice Address - Phone:804-310-2444
Practice Address - Fax:804-674-9379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness