YOUTH ACADEMY, LLC
NPI 1750508040
Residential Treatment Facility, Emotionally Disturbed Children in Fairmont, WV

Active since April 19, 2007
3 CROSSWINDS DR, FAIRMONT, WV 26554(304) 363-3341(304) 363-3342 Get Directions Write a Review

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

About Youth Academy, Llc NPPES

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

YOUTH ACADEMY, LLC (NPI 1750508040) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Fairmont, West Virginia and active in the NPI registry since April 2007. The organization lists Steven W. Fairley, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1750508040
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameYOUTH ACADEMY, LLC
Location Address3 CROSSWINDS DRFairmont, WV 26554-9193
Mailing Address3 Crosswinds DrFairmont, WV 26554-9193 · (304) 363-3341 · Fax (304) 363-3342
Fax(304) 363-3342
Organization SubpartNo
Authorized OfficialSteven W. FairleyExecutive Director · (304) 363-3341
Enumeration DateApril 19, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1750508040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

3 CROSSWINDS DR, Fairmont, WV 26554

Other Identifiers 1

Medicaid9305001000WV

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.

Psychiatry & Neurology (Psychiatry)
3 CROSSWINDS DR, YOUTH ACADEMY, LLC
FAIRMONT, WV 26554
Community/Behavioral Health
3 CROSSWINDS DR
FAIRMONT, WV 26554

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 Academy, LLC's NPI number?

The NPI number for Youth Academy, LLC is 1750508040. It was assigned to this organization in the NPPES registry on April 19, 2007.

Where is Youth Academy, LLC located?

Youth Academy, LLC is located at 3 Crosswinds Dr, Fairmont, WV 26554. The listed phone number is (304) 363-3341.

What is Youth Academy, LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

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