Provider Demographics
NPI:1104437623
Name:COUNSELING FOR SUCCESS INC
Entity type:Organization
Organization Name:COUNSELING FOR SUCCESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING / BILLING
Authorized Official - Prefix:
Authorized Official - First Name:RYNELL
Authorized Official - Middle Name:
Authorized Official - Last Name:WARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-216-6751
Mailing Address - Street 1:166 N 300 W STE 4
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-2770
Mailing Address - Country:US
Mailing Address - Phone:435-272-8659
Mailing Address - Fax:
Practice Address - Street 1:166 N 300 W STE 4
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-2770
Practice Address - Country:US
Practice Address - Phone:435-272-8659
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-10
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty