Provider Demographics
NPI:1003921420
Name:GOOD SUCCESS CONSULTING GROUP, LLC
Entity Type:Organization
Organization Name:GOOD SUCCESS CONSULTING GROUP, LLC
Other - Org Name:GOOD SUCCESS CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT / EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:C
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:SWEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:803-242-0778
Mailing Address - Street 1:454 S ANDERSON RD STE 311
Mailing Address - Street 2:BTC 598
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-3392
Mailing Address - Country:US
Mailing Address - Phone:803-242-0778
Mailing Address - Fax:877-752-1347
Practice Address - Street 1:454 S ANDERSON RD STE 2
Practice Address - Street 2:BTC 598
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730-3392
Practice Address - Country:US
Practice Address - Phone:803-242-0778
Practice Address - Fax:877-752-1347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCOTP - 087101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCOTP-087OtherSCDHEC LICENSE NUMBER