| Success Are Us | |
|
7473 Mistydawn Dr Fairburn GA 30213-4331 | |
| (404) 771-5054 | |
| Not Available |
| Full Name | Success Are Us |
|---|---|
| Speciality | Clinic/Center |
| Location | 7473 Mistydawn Dr, Fairburn, Georgia |
| Authorized Official Name and Position | Christina Denise Parsons (CEO) |
| Authorized Official Contact | 4047715054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Success Are Us 7473 Mistydawn Dr Fairburn GA 30213-4331 Ph: (404) 771-5054 | Success Are Us 7473 Mistydawn Dr Fairburn GA 30213-4331 Ph: (404) 771-5054 |
| NPI Number | 1578338372 |
|---|---|
| Provider Enumeration Date | 11/21/2023 |
| Last Update Date | 11/21/2023 |
| Certification Date | 11/21/2023 |
| Medicare PECOS PAC ID | 8729437231 |
|---|---|
| Medicare Enrollment ID | O20231208003232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578338372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Christina D Parsons |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396987483 PECOS PAC ID: 9638528144 Enrollment ID: I20231208003265 |
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