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DOMINION YOUTH SERVICES RESIDENTIAL LLC
NPI 1407993777
Community Based Residential Treatment Facility, Mental Illness in Richmond, VA

Active since January 30, 2007
2419 FON DU LAC RD, RICHMOND, VA 23229(804) 440-7074(804) 440-7075 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dominion Youth Services Residential Llc NPPES

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

DOMINION YOUTH SERVICES RESIDENTIAL LLC (NPI 1407993777) is a healthcare organization registered as a community based residential treatment facility, mental illness in Richmond, Virginia and active in the NPI registry since January 2007. The organization lists Gl Pulliam, Director Of Residential, as its authorized official.

NPPES Registry Identity

NPI1407993777
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameDOMINION YOUTH SERVICES
Location Address2419 FON DU LAC RDRichmond, VA 23229
Mailing AddressPo Box 70296Richmond, VA 23255-0296 · (804) 285-9838 · Fax (804) 285-9839
Phone(804) 440-7074
Fax(804) 440-7075
Organization SubpartNo
Authorized OfficialGl PulliamDirector Of Residential · (804) 285-9838
Enumeration DateJanuary 30, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1407993777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in VA · 406-14-001
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
2419 FON DU LAC RD, Richmond, VA 23229
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Other Names 1

Doing Business AsDominion Youth Services Residential Llc

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.

THOMAS FARAGHER
Community Based Residential Treatment Facility, Mental Illness
2419 FON DU LAC RD
RICHMOND, VA 23229
Henrico County (804) 440-7074
MRS. KRISTEN YEOM LPC
Counselor (Mental Health)
2419 FON DU LAC RD
RICHMOND, VA 23229
Henrico County (804) 366-7194

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 Dominion Youth Services's NPI number?

The NPI number for Dominion Youth Services is 1407993777. It was assigned to this organization in the NPPES registry on January 30, 2007. The provider is doing business as Dominion Youth Services Residential LLC.

Where is Dominion Youth Services located?

Dominion Youth Services is located at 2419 Fon Du Lac Rd, Richmond, VA 23229. The listed phone number is (804) 440-7074.

What is Dominion Youth Services's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Dominion Youth Services was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.