ONE LIFE YOUTH AND FAMILY SERVICES LLC
NPI 1992122113
Counselor - Professional in Rock Hill, SC

Active since March 26, 2014
2676 W MAIN ST, ROCK HILL, SC 29732(704) 345-2032 Get Directions Write a Review

NPPES record last updated: December 1, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Counselor
  • Professional

About ONE LIFE YOUTH AND FAMILY SERVICES LLC

This page provides the complete NPI Profile along with additional information for One Life Youth And Family Services Llc, a provider established in Rock Hill, South Carolina operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1992122113 assigned on March 2014. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated 12 years ago. One Life Youth And Family Services Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Wayne Levonne Burch Sr. (Cfo)

NPI
1992122113 Verify this NPI
Provider Name
ONE LIFE YOUTH AND FAMILY SERVICES LLC
Entity Type
Organization
Location Address
2676 W MAIN ST ROCK HILL, SC 29732
Location Phone
(704) 345-2032
Mailing Address
7303 SHIRAS CT CHARLOTTE, NC 28273
Mailing Phone
(980) 333-7411
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-26-2014
Last Update Date
12-01-2014
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 
2101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
31041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
4251S00000XAgencies

Community/Behavioral Health

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. WAYNE LEVONNE BURCH SR.

Authorized Official Title
CFO
Authorized Official Phone
(704) 345-2032

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Community/Behavioral Health
2676 W MAIN ST
ROCK HILL, SC 29732

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992122113, enumerated as an "organization" on March 26, 2014.

The provider is located at 2676 W MAIN ST ROCK HILL, SC 29732 and the phone number is (704) 345-2032.

Counselor with taxonomy code 101YP2500X and a focus in Professional.