| Youth Impact Mental Health Company | |
|
14918 Litton Dr Midlothian VA 23112-4765 | |
| (804) 307-4660 | |
| Not Available |
| Full Name | Youth Impact Mental Health Company |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14918 Litton Dr, Midlothian, Virginia |
| Authorized Official Name and Position | Travis Woods (OWNER - CEO) |
| Authorized Official Contact | 8043074660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Impact Mental Health Company 10221 Krause Rd Unit 81 Chesterfield VA 23832-1204 Ph: (804) 307-4660 | Youth Impact Mental Health Company 14918 Litton Dr Midlothian VA 23112-4765 Ph: (804) 307-4660 |
| NPI Number | 1518716984 |
|---|---|
| Provider Enumeration Date | 05/16/2024 |
| Last Update Date | 05/16/2024 |
| Certification Date | 05/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518716984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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