Provider Demographics
NPI:1801348206
Name:CENTER FOR SUCCESS
Entity type:Organization
Organization Name:CENTER FOR SUCCESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNDELL
Authorized Official - Middle Name:W
Authorized Official - Last Name:STOVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-209-5882
Mailing Address - Street 1:429 W AIRLINE HWY
Mailing Address - Street 2:SUITE P
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-3817
Mailing Address - Country:US
Mailing Address - Phone:985-209-5882
Mailing Address - Fax:
Practice Address - Street 1:429 W AIRLINE HWY
Practice Address - Street 2:SUITE P
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-3817
Practice Address - Country:US
Practice Address - Phone:985-209-5882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-01
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5342251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health