Youth Academy, Llc in Fairmont - Community/behavioral Health
Youth Academy, Llc - NPI 1891913935
Youth Academy, Llc is a Community/behavioral Health in Fairmont, . Youth Academy, Llc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Youth Academy, Llc is 1891913935. The last update date is 2020-08-22.
Youth Academy, Llc's current location address is 3 Crosswinds Dr, Fairmont, . You can contact this provider via phone number 3043633341 and fax number 3043633342. The mailing address for Youth Academy, Llc is 3 Crosswinds Dr, Fairmont, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Youth Academy, Llc |
|---|---|
| Address | 3 Crosswinds Dr, Fairmont, |
| Phone Number | 3043633341 |
| Fax Number | 3043633342 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Fairley W Steven |
| Credentials | LCSW,MSW,A |
| Telephone Number | 3043633341 |
NPI Number Detail
| NPI Number | 1891913935 |
|---|---|
| Provider Enumeration Date | 2007-04-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3 Crosswinds Dr |
|---|---|
| City | Fairmont |
| State | (WV) |
| Post Code | 265549193 |
| Phone Number | 3043633341 |
| Fax Number | 3043633342 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3810003254 | WV | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Youth Academy, Llc by the Centers for Medicare & Medicaid Services?
The Youth Academy, Llc has been issued the NPI (National Provider Identifier) 1891913935. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Youth Academy, Llc located?
The Youth Academy, Llc is located at 3 Crosswinds Dr, Fairmont, WV 265549193.
What is Youth Academy, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Youth Academy, Llc is Community/behavioral Health, and the taxonomy code that classifies this field of practice is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1891913935 to Youth Academy, Llc?
The Youth Academy, Llc received its 1891913935 assignment from the Centers for Medicare & Medicaid Services on 2007-04-23.
When was the information regarding Youth Academy, Llc most recently updated?
The details pertaining to the Youth Academy, Llc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.