Youth Life Services, Llc

LBN: Youth Life Services, Llc
Youth Life Services, Llc is an health care organization with primary practice located at 10908 Courthouse Rd Ste 102149 , Fredericksburg VA 22408-2658. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Youth Life Services, Llc can be contacted via phone (540) 210-7624, or through Thomas, Antaysia via phone (540) 210-7624.

Contact Information

Primary practice address
10908 Courthouse Rd Ste 102149 Fredericksburg VA 22408-2658
Phone: (540) 210-7624
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Antaysia Licensed Clinical Social Worker (LCSW)
Phone: (540) 210-7624

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1194331918
LBN Legal business name Youth Life Services, Llc
DBA Doing business as
Authorized official Thomas, Antaysia Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2020
Last updated Jan 21st, 2026 - about 10 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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