Provider Demographics
NPI:1194862185
Name:SUCCESSIONS, INC.
Entity type:Organization
Organization Name:SUCCESSIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:VERACIERTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-597-0021
Mailing Address - Street 1:11145 METROMONT PKWY
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-7510
Mailing Address - Country:US
Mailing Address - Phone:704-597-0021
Mailing Address - Fax:
Practice Address - Street 1:11145 METROMONT PKWY
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-7510
Practice Address - Country:US
Practice Address - Phone:704-597-0021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8300197GMedicaid