Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Specialized Youth Services of VA, Inc

Organization Mental Health Counselor · NPI 1366513715

Specialized Youth Services of VA, Inc provides Mental Health Counselor services in Petersburg, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

230 S Crater Rd
Petersburg, VA 23803-4424 Not confirmed with CMS for 17 years — call before visiting
Phone: (804) 733-2180
Fax: (804) 733-8502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 328 (VA)

Record details

NPI number1366513715
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Warren Bull — Cheif Executive Officer · (804) 733-2180
Other names Child And Family Guidance
NPI enumeratedNovember 9, 2006
Last updated in NPPESApril 1, 2009
Mailing address230 S Crater Rd, Petersburg, VA 23803-4424

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