Provider Demographics
NPI:1891390225
Name:OPTION TO SUCCESS INC
Entity Type:Organization
Organization Name:OPTION TO SUCCESS INC
Other - Org Name:OPTION TO SUCCESS FAMILY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:ELISE
Authorized Official - Last Name:FLIPPINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-338-6124
Mailing Address - Street 1:5112 HUNTERS POINT CIR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40216-1486
Mailing Address - Country:US
Mailing Address - Phone:502-338-6124
Mailing Address - Fax:
Practice Address - Street 1:3155 COMMERCE CENTER PL
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40211-1975
Practice Address - Country:US
Practice Address - Phone:502-338-6124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-03
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)