YOUTH AND FAMILY DYNAMICS MENTAL HEALTH SUPPORT, LLC
NPI 1013210178
Community/Behavioral Health in Henrico, VA

Active since December 13, 2010
5741 S LABURNUM AVE, SUITE #111, HENRICO, VA 23231(804) 477-3065(804) 477-3092 Get Directions Write a Review

NPPES record last updated: December 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Youth And Family Dynamics Mental Health Support, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YOUTH AND FAMILY DYNAMICS MENTAL HEALTH SUPPORT, LLC (NPI 1013210178) is a healthcare organization registered as a community/behavioral health in Henrico, Virginia and active in the NPI registry since December 2010. The organization lists Allen F. Jackson, Cheif Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1013210178
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameYOUTH AND FAMILY DYNAMICS MENTAL HEALTH SUPPORT, LLC
Location Address5741 S LABURNUM AVE, SUITE #111Henrico, VA 23231-4431
Mailing Address1733 First Colonial CtHenrico, VA 23231-6892 · (804) 501-9440 · Fax (804) 222-8122
Fax(804) 477-3092
Organization SubpartNo
Authorized OfficialAllen F. JacksonCheif Executive Officer · (804) 477-3065
Enumeration DateDecember 13, 2010
Last NPPES UpdateDecember 3, 2013
NPI 1013210178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in VA · 1162
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
5741 S LABURNUM AVE, Henrico, VA 23231

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
5741 S LABURNUM AVE
HENRICO, VA 23231
Health Maintenance Organization
5741 S LABURNUM AVE
HENRICO, VA 23231

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Youth And Family Dynamics Mental Health Support, LLC's NPI number?

The NPI number for Youth And Family Dynamics Mental Health Support, LLC is 1013210178. It was assigned to this organization in the NPPES registry on December 13, 2010.

Where is Youth And Family Dynamics Mental Health Support, LLC located?

Youth And Family Dynamics Mental Health Support, LLC is located at 5741 S Laburnum Ave Suite #111, Henrico, VA 23231. The listed phone number is (804) 477-3065.

What is Youth And Family Dynamics Mental Health Support, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Youth And Family Dynamics Mental Health Support, LLC was last updated on December 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.