Provider Demographics
NPI:1942802491
Name:CENTER FOR SOCIAL SUCCESS
Entity Type:Organization
Organization Name:CENTER FOR SOCIAL SUCCESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOZANO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S, RPT-S
Authorized Official - Phone:972-404-3001
Mailing Address - Street 1:12880 HILLCREST RD STE 105
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-6551
Mailing Address - Country:US
Mailing Address - Phone:214-493-8266
Mailing Address - Fax:
Practice Address - Street 1:12880 HILLCREST RD STE 105
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-6551
Practice Address - Country:US
Practice Address - Phone:972-404-3001
Practice Address - Fax:972-404-3005
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTER FOR SOCIAL SUCCESS PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-10
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty