SUCCESSFUL TRANSITIONS LLC NPI 1205094703

NPI Information

  • NPI: 1205094703
  • Provider Name: SUCCESSFUL TRANSITIONS LLC
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Address: 820 MARK ST
    HIGH POINT, NC
    ZIP 27260
  • Phone: (336) 889-7515

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NPI Details

SUCCESSFUL TRANSITIONS LLC is a residential treatment facility emotionally disturbed children in High Point, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. SUCCESSFUL TRANSITIONS LLC NPI is 1205094703. The provider is registered as an organization entity type.

The provider's business location address is:

820 MARK ST
HIGH POINT, NC
ZIP 27260-928
Phone: (336) 889-7515
Fax: (336) 889-7505

The provider's authorized official is Eva L Washington .
The authorized official title is Co-director and has the following contact phone number (336) 312-7761.

The enumeration date for this NPI number is 5/30/2008 and was last updated on 3/6/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL 041-866NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16604313MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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