1. Home
  2. Directory
  3. Virginia
  4. Petersburg
  5. Counselor
  6. NPI Profile

SPECIALIZED YOUTH SERVICES OF VA, INC
NPI 1811022361
Counselor - Mental Health in Petersburg, VA

Active since February 23, 2007
230 S CRATER RD, PETERSBURG, VA 23803(804) 733-2180(804) 733-8502 Get Directions Write a Review

NPPES record last updated: October 15, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Specialized Youth Services Of Va, Inc NPPES

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

SPECIALIZED YOUTH SERVICES OF VA, INC (NPI 1811022361) is a healthcare organization registered as a mental health in Petersburg, Virginia and active in the NPI registry since February 2007. The organization lists Warren G Bull, Owner, as its authorized official.

NPPES Registry Identity

NPI1811022361
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameSPECIALIZED YOUTH SERVICES OF VA, INC
Location Address230 S CRATER RDPetersburg, VA 23803-4424
Mailing Address230 S Crater RdPetersburg, VA 23803-4424 · (804) 733-2180 · Fax (804) 733-8502
Phone(804) 733-2180
Fax(804) 733-8502
Organization SubpartNo
Authorized OfficialWarren G BullOwner · (804) 733-2180
Enumeration DateFebruary 23, 2007
Last NPPES UpdateOctober 15, 2007
✔ NPI 1811022361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
230 S CRATER RD, Petersburg, VA 23803
Open in Google Maps ↗

Other Identifiers 1

Other1780872101VA · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

MS. LATRICE WINSTON III LPC
Counselor (Professional)
230 S CRATER RD
PETERSBURG, VA 23803
Dinwiddie County (804) 733-2180
SPECIALIZED YOUTH SERVICES OF VA, INC
Counselor (Mental Health)
230 S CRATER RD
PETERSBURG, VA 23803
Dinwiddie County (804) 733-2180
COMMUNITY COUNSELING GROUP
Community/Behavioral Health
230 S CRATER RD
PETERSBURG, VA 23803
Dinwiddie County (804) 381-9052
MS. KIMBERLY MILLER LINDBLAD LCSW
Social Worker (Clinical)
230 S CRATER RD
PETERSBURG, VA 23803
Dinwiddie County (804) 733-2180

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 Specialized Youth Services Of VA, Inc's NPI number?

The NPI number for Specialized Youth Services Of VA, Inc is 1811022361. It was assigned to this organization in the NPPES registry on February 23, 2007.

Where is Specialized Youth Services Of VA, Inc located?

Specialized Youth Services Of VA, Inc is located at 230 S Crater Rd, Petersburg, VA 23803. The listed phone number is (804) 733-2180.

What is Specialized Youth Services Of VA, Inc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Specialized Youth Services Of VA, Inc was last updated on October 15, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.