Provider Demographics
NPI:1396043832
Name:YOUTH SOLUTIONS INC.
Entity Type:Organization
Organization Name:YOUTH SOLUTIONS INC.
Other - Org Name:INFINITY COUNSELING GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ULYSESS
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-544-5020
Mailing Address - Street 1:909 AUDUBON CIR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-0663
Mailing Address - Country:US
Mailing Address - Phone:757-544-5020
Mailing Address - Fax:
Practice Address - Street 1:6325 N CENTER DR STE 202
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-0019
Practice Address - Country:US
Practice Address - Phone:757-544-5020
Practice Address - Fax:757-227-3642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-08
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1507251S00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1396043832Medicaid