SUCCESS PSYCHOLOGICAL SERVICES PLLC NPI 1184189714

NPI Information

NPI: 1184189714
Provider Name: SUCCESS PSYCHOLOGICAL SERVICES PLLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
2239 CARTER AVE # 202
SAINT PAUL, MN
ZIP 55108
Phone: (612) 965-6135
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SUCCESS PSYCHOLOGICAL SERVICES PLLC is an adult mental health clinic center in Saint Paul, MN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. SUCCESS PSYCHOLOGICAL SERVICES PLLC NPI is 1184189714. The provider is registered as an organization entity type.

The provider's business location address is:

2239 CARTER AVE # 202
SAINT PAUL, MN
ZIP 55108-638
Phone: (612) 965-6135
Fax: (651) 645-2439

The provider's authorized official is Glenn Phillip Hirsch .
The authorized official title is Ceo and has the following contact phone number (612) 965-6135.

The enumeration date for this NPI number is 2/7/2019 and was last updated on 2/7/2019.

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	261QM0850X	Clinic/Center	Adult Mental Health			Yes

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: 5/5/2024

NPI Synchronization or Removal

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