| Youth For Tomorrow New Life Center, Inc. | |
|
11835 Hazel Circle Dr Bristow VA 20136-2180 | |
| (703) 368-7995 | |
| (703) 361-4335 |
| Full Name | Youth For Tomorrow New Life Center, Inc. |
|---|---|
| Speciality | Psychiatric Residential Treatment Facility |
| Location | 11835 Hazel Circle Dr, Bristow, Virginia |
| Authorized Official Name and Position | Lori Perez (CONTROLLER) |
| Authorized Official Contact | 7036365100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth For Tomorrow New Life Center, Inc. 11835 Hazel Circle Dr Bristow VA 20136-2180 Ph: (703) 368-7995 | Youth For Tomorrow New Life Center, Inc. 11835 Hazel Circle Dr Bristow VA 20136-2180 Ph: (703) 368-7995 |
| NPI Number | 1316118292 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 02/26/2019 |
| Medicare PECOS PAC ID | 1951673227 |
|---|---|
| Medicare Enrollment ID | O20170822000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316118292 | NPI | - | NPPES |
| Provider Name | Catherine Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528218997 PECOS PAC ID: 4587727730 Enrollment ID: I20090114000162 |
| Provider Name | Tanya E Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821581588 PECOS PAC ID: 2163772708 Enrollment ID: I20180903000041 |
| Provider Name | Emmaculate N Ndifor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457802498 PECOS PAC ID: 0042558892 Enrollment ID: I20190220003234 |
| Provider Name | Owen Julien Allie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033627534 PECOS PAC ID: 1456796655 Enrollment ID: I20240227004239 |
| Provider Name | Andrew James Harar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639619174 PECOS PAC ID: 2567807456 Enrollment ID: I20240301001187 |
| Provider Name | Barry Lawlor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447471313 PECOS PAC ID: 4880039536 Enrollment ID: I20240304002650 |
| Provider Name | Naomi Britton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144619305 PECOS PAC ID: 8123463775 Enrollment ID: I20240305002209 |
| Provider Name | Aisha Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548687841 PECOS PAC ID: 6507202181 Enrollment ID: I20240306002653 |
| Provider Name | Mayra Crystal Cardenas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922645605 PECOS PAC ID: 7911343355 Enrollment ID: I20240307004231 |
| Provider Name | Julia Klynstra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538882071 PECOS PAC ID: 7810333010 Enrollment ID: I20240311001566 |
| Provider Name | David Sanzo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871145268 PECOS PAC ID: 4789020876 Enrollment ID: I20240312001069 |
| Provider Name | Kayran Treia Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427781491 PECOS PAC ID: 8224474242 Enrollment ID: I20240313001820 |
| Provider Name | Claudia Rubidia Gamez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174170633 PECOS PAC ID: 2860838539 Enrollment ID: I20240315003430 |
| Provider Name | Linda Kay Lindamood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184059727 PECOS PAC ID: 9537506944 Enrollment ID: I20240321000514 |
| Provider Name | Kelley M Cahoon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316074784 PECOS PAC ID: 2365889490 Enrollment ID: I20240325001478 |
| Provider Name | Maria Antonella Tabarez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588432728 PECOS PAC ID: 8224476023 Enrollment ID: I20240328003757 |
| Provider Name | Uma Devi Tummala |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235836271 PECOS PAC ID: 4486092152 Enrollment ID: I20240401003410 |
| Provider Name | Asma Noman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114782257 PECOS PAC ID: 6507204187 Enrollment ID: I20240402000628 |
| Provider Name | Danielle Christina Nieto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154893147 PECOS PAC ID: 4789022864 Enrollment ID: I20240409002390 |
| Provider Name | Carl Street |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720450943 PECOS PAC ID: 2860831336 Enrollment ID: I20240416004133 |
| Provider Name | Anindita Dwivedi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134988710 PECOS PAC ID: 2365881786 Enrollment ID: I20240418002033 |
| Provider Name | Christopher J Coleman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144778614 PECOS PAC ID: 7911347976 Enrollment ID: I20240424004092 |
| Provider Name | Aubrey Anne New |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144080102 PECOS PAC ID: 7618319542 Enrollment ID: I20240523002855 |
Exceptional Family Member Advocates Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10302 Bristow Center Dr, Suite 62, Bristow, VA 20136 Phone: 703-895-1665 Fax: 703-656-4880 | |
Supporting The Journey Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10801 Henry Abbott Rd, Bristow, VA 20136 Phone: 703-622-6055 | |
Youth For Tomorrow New Life Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11835 Hazel Circle Dr, Bristow, VA 20136 Phone: 703-368-7995 Fax: 703-361-4335 | |
Benedictine Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9535 Linton Hall Rd, Bristow, VA 20136 Phone: 703-369-3800 Fax: 703-369-3877 | |
Safe Harbor Christian Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9560 Linton Hall Rd, Bristow, VA 20136 Phone: 410-893-4600 | |
On The Spectrum Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10902 Clara Barton Dr, Bristow, VA 20136 Phone: 800-819-5288 |