Road To Success is a health care provider in Mount Vernon, GA. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||305 W Spring St, Mount Vernon, GA 30445-2837, US|
|Practice Location Phone||912-423-0498|
|Practice Location Fax||912-583-0115|
|Legal Business Name||ROAD TO SUCCESS|
|Enumeration Date ?||May 17, 2016|
|Last Update Date ?||May 17, 2016|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Counselor||Behavioral Health & Social Service Providers||LPC007564||Georgia|
|Counselor||Behavioral Health & Social Service Providers||Professional||LPC007564||Georgia|
|Provider Id||Issuer State||Issuer Type||Issuer|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Road To Success's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Paulett Chavers (LPC)|
|Authorized Official Title/Position||VP|
|Authorized Official Phone Number||912-423-0498|