Provider Demographics
NPI:1578338372
Name:SUCCESS ARE US
Entity Type:Organization
Organization Name:SUCCESS ARE US
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:PARSONS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, CPCS
Authorized Official - Phone:404-771-5054
Mailing Address - Street 1:7473 MISTYDAWN DR
Mailing Address - Street 2:
Mailing Address - City:FAIRBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30213-4331
Mailing Address - Country:US
Mailing Address - Phone:404-771-5054
Mailing Address - Fax:
Practice Address - Street 1:7473 MISTYDAWN DR
Practice Address - Street 2:
Practice Address - City:FAIRBURN
Practice Address - State:GA
Practice Address - Zip Code:30213-4331
Practice Address - Country:US
Practice Address - Phone:404-771-5054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)