Provider Demographics
NPI:1013759554
Name:SUCCESS 4 KIDS & FAMILIES
Entity type:Organization
Organization Name:SUCCESS 4 KIDS & FAMILIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:JEFFRE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:727-488-5432
Mailing Address - Street 1:2902 N ARMENIA AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-1661
Mailing Address - Country:US
Mailing Address - Phone:813-490-5490
Mailing Address - Fax:813-490-5495
Practice Address - Street 1:2902 N ARMENIA AVE STE 200
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-1661
Practice Address - Country:US
Practice Address - Phone:813-490-5490
Practice Address - Fax:813-490-5495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-06
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health