Provider Demographics
NPI:1740693308
Name:SUCCESS FOR FAMILIES, INC
Entity type:Organization
Organization Name:SUCCESS FOR FAMILIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:VITALI
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, MSW
Authorized Official - Phone:813-770-3118
Mailing Address - Street 1:4511 N HIMES AVE
Mailing Address - Street 2:200
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-7074
Mailing Address - Country:US
Mailing Address - Phone:813-770-3118
Mailing Address - Fax:
Practice Address - Street 1:4511 N HIMES AVE
Practice Address - Street 2:200
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-7074
Practice Address - Country:US
Practice Address - Phone:813-770-3118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-11
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12294251C00000X, 251S00000X, 261QM0801X, 261QM0850X
343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)