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Road To Success

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.

physician-icon Basic Information

Practice Location 305 W Spring St, Mount Vernon, GA 30445-2837, US
Practice Location Phone912-423-0498
Practice Location Fax912-583-0115
Legal Business NameROAD TO SUCCESS
NPI ?1205283520
Entity TypeOrganization
Enumeration Date ? May 17, 2016
Last Update Date ? May 17, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Road To Success

SpecialtySpecializationLicenseLicense State
Counselor LPC007564Georgia
CounselorProfessional LPC007564Georgia
Community/Behavioral Health LPC007564Georgia

legacy-id-icon Legacy Provider IDs of Road To Success

Provider IdIssuer StateIssuer TypeIssuer
003155049BGeorgiaMedicaid

official-icon Authorized Official of Road To Success

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/PositionVP
Authorized Official Phone Number912-423-0498