SUCCESS 1 SERVICES LLC NPI 1508058736

NPI Information

NPI: 1508058736
Provider Name: SUCCESS 1 SERVICES, LLC
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
670 BROADWAY AVE
BEDFORD, OH
ZIP 44146
Phone: (440) 439-9250
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SUCCESS 1 SERVICES, LLC is a marriage family therapist in Bedford, OH. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. SUCCESS 1 SERVICES, LLC NPI is 1508058736. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

670 BROADWAY AVE
BEDFORD, OH
ZIP 44146-642
Phone: (440) 439-9250

The provider's authorized official is Tonya L. Hunter .
The authorized official title is Ceo and has the following contact phone number (440) 439-9250.

The enumeration date for this NPI number is 8/12/2007 and was last updated on 8/12/2007.

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
1	101Y00000X	Counselor		0007152	OHIO	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	031002	OHIO	No
3	104100000X	Social Worker		S0023943	OHIO	No
4	1041C0700X	Social Worker	Clinical	0008746	OHIO	No
5	106H00000X	Marriage & Family Therapist		F051	OHIO	Yes

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
1	11762402	OTHER	OHIO	CAQH

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: 4/28/2024

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