YOUTH VILLAGES, INC
NPI 1073167847
Psychiatric Residential Treatment Facility in Douglasville, GA

Active since July 30, 2019CLIA 11D0883852 · Waiver
4685 DORSETT SHOALS RD, DOUGLASVILLE, GA 30135(901) 251-5000(901) 251-5001 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Youth Villages, Inc NPPES

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

YOUTH VILLAGES, INC (NPI 1073167847) is a healthcare organization registered as a psychiatric residential treatment facility in Douglasville, Georgia and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through March 20, 2028 and lists Patrick W. Lawler, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1073167847
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameYOUTH VILLAGES, INC
Location Address4685 DORSETT SHOALS RDDouglasville, GA 30135-4921
Mailing Address3320 Brother BlvdMemphis, TN 38133-8950 · (901) 251-5000 · Fax (901) 251-5001
Fax(901) 251-5001
Organization SubpartNo
Authorized OfficialPatrick W. LawlerChief Executive Officer · (901) 251-5000
Enumeration DateJuly 30, 2019
NPI 1073167847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
4685 DORSETT SHOALS RD, Douglasville, GA 30135

Other Identifiers 1

Medicaid330507828CGA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0883852

Youth Villages Inner Harbour Campus · Douglasville, GA
Active · expires Mar 20, 2028
CLIA Number11D0883852
Laboratory TypeHospital
Certificate Effective DateMarch 21, 2026
Certificate Expiration DateMarch 20, 2028
Laboratory DirectorAlana Pearson
Laboratory Phone(770) 852-6300
Laboratory LocationYouth Villages Inner Harbour Campus4685 Dorsett Shoals Road, Douglasville, GA 30135
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Psychiatric Residential Treatment Facility
4685 DORSETT SHOALS RD
DOUGLASVILLE, GA 30135
Nurse Practitioner (Psychiatric/Mental Health)
4685 DORSETT SHOALS RD
DOUGLASVILLE, GA 30135
Registered Nurse
4685 DORSETT SHOALS RD
DOUGLASVILLE, GA 30135
Registered Nurse (Psychiatric/Mental Health)
4685 DORSETT SHOALS RD
DOUGLASVILLE, GA 30135
Counselor (Professional)
4685 DORSETT SHOALS RD
DOUGLASVILLE, GA 30135
Nurse Practitioner (Psychiatric/Mental Health)
4685 DORSETT SHOALS RD
DOUGLASVILLE, GA 30135
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4685 DORSETT SHOALS RD
DOUGLASVILLE, GA 30135

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 Villages, Inc's NPI number?

The NPI number for Youth Villages, Inc is 1073167847. It was assigned to this organization in the NPPES registry on July 30, 2019.

Where is Youth Villages, Inc located?

Youth Villages, Inc is located at 4685 Dorsett Shoals Rd, Douglasville, GA 30135. The listed phone number is (901) 251-5000.

What is Youth Villages, Inc's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

Does Youth Villages, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0883852) is associated with this NPI, valid through March 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Youth Villages, Inc was last updated on July 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.