FULL POTENTIAL YOUTH SERVICES – Community/Behavioral Health Agency, NPI 1366628760

FULL POTENTIAL YOUTH SERVICES is a healthcare provider. based in Midlothian, Virginia. specializing in Community/Behavioral Health Agency. The organization holds a License No. SS36507 (VA). The NPI Number for FULL POTENTIAL YOUTH SERVICES is 1366628760

Main info

Organization
Name
FULL POTENTIAL YOUTH SERVICES
NPI
1366628760
Phone
(804) 222-3510
Address
13107 LIBERTY POINT PL
Authorized Official
MR. JAMES BROADNAX HARRIS JR. CHIEF ADMINISTRATION OFFICER
Enumeration Date
15 January 2008
Last Update Date
15 January 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for FULL POTENTIAL YOUTH SERVICES

  • 13107 LIBERTY POINT PL

    MIDLOTHIAN, VA 231127000

    Phone: (804) 222-3510

    Type: Mailing

  • Taylor Road, Augusta, Richmond County, Georgia, 30906, United States

    RICHMOND, VA 232235532

    Phone: (804) 222-3510

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23112)

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Frequently asked questions

How do I look up FULL POTENTIAL YOUTH SERVICES by NPI?
Use NPI 1366628760 when you need to reference FULL POTENTIAL YOUTH SERVICES in forms, claims, or directories.
Is FULL POTENTIAL YOUTH SERVICES currently active in the NPI registry?
CMS-published data lists FULL POTENTIAL YOUTH SERVICES as an active registrant.
What kind of provider is FULL POTENTIAL YOUTH SERVICES?
The page reflects Community/Behavioral Health Agency for FULL POTENTIAL YOUTH SERVICES. Clinical services aligned with this taxonomy classification.
Does FULL POTENTIAL YOUTH SERVICES practice in Virginia?
You will see Midlothian, Virginia on file for FULL POTENTIAL YOUTH SERVICES alongside any extra practice locations.
What if Midlothian, Virginia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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