Provider Demographics
NPI:1649852518
Name:SUCCESS COUNSELING THERAPY & CONSULTING, LLC
Entity type:Organization
Organization Name:SUCCESS COUNSELING THERAPY & CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:LAIT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:407-802-7040
Mailing Address - Street 1:306 S EDWARDS ST
Mailing Address - Street 2:
Mailing Address - City:ENTERPRISE
Mailing Address - State:AL
Mailing Address - Zip Code:36330-3802
Mailing Address - Country:US
Mailing Address - Phone:334-400-6625
Mailing Address - Fax:334-347-2291
Practice Address - Street 1:306 S EDWARDS ST
Practice Address - Street 2:
Practice Address - City:ENTERPRISE
Practice Address - State:AL
Practice Address - Zip Code:36330-3802
Practice Address - Country:US
Practice Address - Phone:334-400-6625
Practice Address - Fax:334-347-2919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-21
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty