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THE YOUTH ACADEMY GROUP HOME
NPI 1073562211
Counselor - Professional in Kingstree, SC

Active since May 07, 2006
237 LELA HARRISON RD, KINGSTREE, SC 29556(843) 382-5927(843) 382-5826 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About The Youth Academy Group Home NPPES

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

THE YOUTH ACADEMY GROUP HOME (NPI 1073562211) is a healthcare organization registered as a professional in Kingstree, South Carolina and active in the NPI registry since May 2006. The organization lists Daphne Wilson Boston, Executive Director / Lcs, as its authorized official.

NPPES Registry Identity

NPI1073562211
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameTHE YOUTH ACADEMY, INC.
Location Address237 LELA HARRISON RDKingstree, SC 29556-6771
Mailing Address237 Lela Harrison Rd, Po Box 174Kingstree, SC 29556-6771 · (843) 382-5927 · Fax (843) 382-5826
Phone(843) 382-5927
Fax(843) 382-5826
Organization SubpartNo
Authorized OfficialDaphne Wilson BostonExecutive Director / Lcs · (843) 382-5927
Enumeration DateMay 7, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1073562211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in SC · SR-0001723001-GH✔ Licensed in SC · SR-0008158001-CCI
237 LELA HARRISON RD, Kingstree, SC 29556
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Other Names 1

Doing Business AsThe Youth Academy Group Home

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 The Youth Academy, Inc.'s NPI number?

The NPI number for The Youth Academy, Inc. is 1073562211. It was assigned to this organization in the NPPES registry on May 7, 2006. The provider is doing business as The Youth Academy Group Home.

Where is The Youth Academy, Inc. located?

The Youth Academy, Inc. is located at 237 Lela Harrison Rd, Kingstree, SC 29556. The listed phone number is (843) 382-5927.

What is The Youth Academy, Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for The Youth Academy, Inc. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.