| Success Counseling Therapy & Consulting, Llc | |
|
306 S Edwards St Enterprise AL 36330-3802 | |
| (334) 400-6625 | |
| (334) 347-2919 |
| Full Name | Success Counseling Therapy & Consulting, Llc |
|---|---|
| Speciality | Counselor |
| Location | 306 S Edwards St, Enterprise, Alabama |
| Authorized Official Name and Position | Michael H Lait (OWNER) |
| Authorized Official Contact | 4078027040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Success Counseling Therapy & Consulting, Llc 306 S Edwards St Enterprise AL 36330-3802 Ph: (334) 400-6625 | Success Counseling Therapy & Consulting, Llc 306 S Edwards St Enterprise AL 36330-3802 Ph: (334) 400-6625 |
| NPI Number | 1649852518 |
|---|---|
| Provider Enumeration Date | 04/21/2021 |
| Last Update Date | 12/28/2023 |
| Certification Date | 12/28/2023 |
| Medicare PECOS PAC ID | 3577008606 |
|---|---|
| Medicare Enrollment ID | O20240713000186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649852518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Michael Lait |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952980187 PECOS PAC ID: 3476098500 Enrollment ID: I20240713000283 |
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