Organization
YOUTH EMPOWERMENT SOLUTIONS, LLC
Active
Organization
YOUTH EMPOWERMENT SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE GOMEZ (EXECUTIVE DIRECTOR)
(704) 904-1770
Entity
Organization
Contact information
Practice address
409 HUNTON FOREST DR NW, CONCORD, NC 28027-0186
(704) 904-1770
Mailing address
7308 E INDEPENDENCE BLVD STE CV316, CHARLOTTE, NC 28227-9448
(704) 904-1770
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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