Provider Demographics
NPI:1811257546
Name:SUCCESSFUL DREAMS BELIEFS & ACHIEVEMENTS, INC
Entity type:Organization
Organization Name:SUCCESSFUL DREAMS BELIEFS & ACHIEVEMENTS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHEIF EXECUTIVE OFFICER/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAWONNICA
Authorized Official - Middle Name:S
Authorized Official - Last Name:HIGHTOWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-814-4443
Mailing Address - Street 1:155 WESTRIDGE PKWY STE 209
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-3051
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:155 WESTRIDGE PKWY STE 209
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-3051
Practice Address - Country:US
Practice Address - Phone:678-814-4443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-29
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251B00000X, 251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No251B00000XAgenciesCase Management