| The Youth Academy Group Home | |
|
237 Lela Harrison Rd Kingstree SC 29556-6771 | |
| (843) 382-5927 | |
| (843) 382-5826 |
| Full Name | The Youth Academy Group Home |
|---|---|
| Speciality | Counselor - Professional |
| Location | 237 Lela Harrison Rd, Kingstree, South Carolina |
| Authorized Official Name and Position | Daphne Wilson Boston (EXECUTIVE DIRECTOR / LCS) |
| Authorized Official Contact | 8433825927 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Youth Academy Group Home 237 Lela Harrison Rd Po Box 174 Kingstree SC 29556-6771 Ph: (843) 382-5927 | The Youth Academy Group Home 237 Lela Harrison Rd Kingstree SC 29556-6771 Ph: (843) 382-5927 |
| NPI Number | 1073562211 |
|---|---|
| Provider Enumeration Date | 05/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073562211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | SR-0001723001-GH (South Carolina) | Primary |
| 101YP2500X | Counselor - Professional | SR-0008158001-CCI (South Carolina) | Secondary |
Donya Wallace Counseling &consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Short St, Kingstree, SC 29556 Phone: 843-354-7324 Fax: 843-354-6461 | |
Positive Influences, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N Brooks St, Kingstree, SC 29556 Phone: 252-916-9466 | |
Hampton Transitional Academy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1372 Sumter Hwy, Kingstree, SC 29556 Phone: 843-515-0187 | |
Next Generation Family And Youth Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1956 Thurgood Marshall Hwy, Ste. 2, Kingstree, SC 29556 Phone: 843-245-7202 | |
Williamsburg County Djj Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 Short St, Kingstree, SC 29556 Phone: 843-355-2772 | |
Williamsburg Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Short St, Kingstree, SC 29556 Phone: 843-355-9113 Fax: 843-355-9389 |