Provider Demographics
NPI:1457602781
Name:CHARTING YOUR SUCCESS LLC
Entity Type:Organization
Organization Name:CHARTING YOUR SUCCESS LLC
Other - Org Name:KEN TRAEN & ASSOCIATES
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER, LICSW
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:RAYMOND
Authorized Official - Last Name:TRAEN
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:612-414-2533
Mailing Address - Street 1:1976 MONTREAL AVENUE
Mailing Address - Street 2:
Mailing Address - City:ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55116
Mailing Address - Country:US
Mailing Address - Phone:612-414-2533
Mailing Address - Fax:651-286-2771
Practice Address - Street 1:631 CLEVELAND AVE S
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55116-1244
Practice Address - Country:US
Practice Address - Phone:651-760-3957
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-26
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty