Provider Demographics
NPI:1346905528
Name:YOUTH EMPOWERED SOLUTIONS, LLC
Entity Type:Organization
Organization Name:YOUTH EMPOWERED SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:COREY
Authorized Official - Middle Name:
Authorized Official - Last Name:VINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-724-7716
Mailing Address - Street 1:5320 MARSH LANDING LN
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-4214
Mailing Address - Country:US
Mailing Address - Phone:757-724-7716
Mailing Address - Fax:
Practice Address - Street 1:5320 MARSH LANDING LN
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-4214
Practice Address - Country:US
Practice Address - Phone:757-724-7716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-03
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
No251C00000XAgenciesDay Training, Developmentally Disabled Services