Healthcare Provider Details

I. General information

NPI: 1134089964
Provider Name (Legal Business Name): YOUTH AND FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2025
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

624 N 31ST ST
RICHMOND VA
23223-7413
US

IV. Provider business mailing address

624 N 31ST ST
RICHMOND VA
23223-7413
US

V. Phone/Fax

Practice location:
  • Phone: 804-217-4806
  • Fax: 804-655-6114
Mailing address:
  • Phone: 804-217-4806
  • Fax: 804-655-6114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State

VIII. Authorized Official

Name: ELLIOTT COX
Title or Position: CEO
Credential:
Phone: 804-217-4806