OrganizationActive
Youth and Family Dynamics Mental Health Support, LLC
NPI 1013210178 · Community/Behavioral Health Agency · Henrico, VA
Provider details
- NPI number
- 1013210178
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Allen Jackson, Cheif Executive Officer(804) 477-3065
- License
- 1162 (VA)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5741 S Laburnum Ave
Suite #111
Henrico, VA 23231-4431
Phone: (804) 477-3065
Fax: (804) 477-3092
Street-level locationGet directions
Mailing address
1733 First Colonial Ct
Henrico, VA 23231-6892
Registry dates
- Enumerated
- 2010-12-13
- Last updated
- 2013-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.