Healthcare Provider Details

I. General information

NPI: 1609797935
Provider Name (Legal Business Name): YOUTH INSTITUTE ACADEMY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3918 JONES ST
LITTLE ROCK AR
72206-3746
US

IV. Provider business mailing address

3918 JONES ST
LITTLE ROCK AR
72206-3746
US

V. Phone/Fax

Practice location:
  • Phone: 501-298-5564
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. REGINA DOYNE
Title or Position: DIRECTOR/OWNER
Credential: M.ED.,LEE
Phone: 662-910-6215