Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Specialized Youth Services of VA, Inc

Organization Mental Health Counselor · NPI 1811022361

Specialized Youth Services of VA, Inc is a Mental Health Counselor in Petersburg, Virginia. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

230 S Crater Rd
Petersburg, VA 23803-4424
Phone: (804) 733-2180
Fax: (804) 733-8502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1811022361
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Warren Bull — Owner · (804) 733-2180
NPI enumeratedFebruary 23, 2007
Last updated in NPPESOctober 15, 2007
Mailing address230 S Crater Rd, Petersburg, VA 23803-4424

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