Provider Demographics
NPI:1285977611
Name:SUCCESSFUL BEGINNINGS, PLLC
Entity type:Organization
Organization Name:SUCCESSFUL BEGINNINGS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ADELINE
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:919-225-6974
Mailing Address - Street 1:1024 MEBANE OAKS RD
Mailing Address - Street 2:SUITE 224
Mailing Address - City:MEBANE
Mailing Address - State:NC
Mailing Address - Zip Code:27302-9679
Mailing Address - Country:US
Mailing Address - Phone:919-225-6974
Mailing Address - Fax:
Practice Address - Street 1:1303 SILVER DR
Practice Address - Street 2:
Practice Address - City:MEBANE
Practice Address - State:NC
Practice Address - Zip Code:27302-8878
Practice Address - Country:US
Practice Address - Phone:919-225-6974
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-04
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0063311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty