# WELLNESS GROUP YOUTH & FAMILY SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134453814
- **Authorized official:** MR. JOHN THOMAS REDD III (CEO)
- **Authorized official phone:** (804) 359-0613

## Contact information

- **Practice address:** 1510 WILLOW LAWN DR, SUITE 10, RICHMOND, VA 23230-3429
- **Practice address phone:** (804) 359-0613
- **Practice address fax:** (804) 359-0614
- **Mailing address:** 1510 WILLOW LAWN DR, SUITE 10, RICHMOND, VA 23230-3429
- **Mailing address phone:** (804) 359-0613
- **Mailing address fax:** (804) 359-0614

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | 492-03-003 | VA | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | 492-05-001 | VA | — |
| 251E00000X | Home Health Agency | 492-03-003 | VA | — |
| 251E00000X | Home Health Agency | 492-05-001 | VA | Yes |
| 251S00000X | Community/Behavioral Health Agency | 492-03-003 | VA | — |

## Other

- **Enumeration date:** 09/28/2009
- **Last updated:** 01/11/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 492-03-003 | DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES | VA |
| 01 | — | 492-05-001 | DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES | VA |