Provider Demographics
NPI:1215676069
Name:TOTAL SUCCESS LLC
Entity type:Organization
Organization Name:TOTAL SUCCESS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:FLEISHA
Authorized Official - Middle Name:SHEIVON
Authorized Official - Last Name:BREWTON
Authorized Official - Suffix:
Authorized Official - Credentials:MMPA
Authorized Official - Phone:704-630-2469
Mailing Address - Street 1:11633 ASBURY CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-4631
Mailing Address - Country:US
Mailing Address - Phone:704-630-2469
Mailing Address - Fax:
Practice Address - Street 1:201 GOVERNMENT AVE SW
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-2954
Practice Address - Country:US
Practice Address - Phone:704-630-2469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-31
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty