# SUCCESSFUL WOMEN ACKNOWLEDGED

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SUCCESSFUL WOMEN ACKNOWLEDGED
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053706507
- **Legal business name:** SUCCESSFUL WOMEN ACKNOWLEDGED
- **Authorized official:** TIFFANY S WELLS B.S. M.S. CWCM, CPI (FOUNDER CEO)
- **Authorized official phone:** (904) 566-0200

## Contact information

- **Practice address:** 5991 CHESTER AVE STE 211, JACKSONVILLE, FL 32217-2245
- **Practice address phone:** (904) 566-0200
- **Mailing address:** 5991 CHESTER AVE STE 211, JACKSONVILLE, FL 32217-2245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 3852 | FL | Yes |
| 251K00000X | Public Health or Welfare Agency | 3852 | FL | — |
| 251S00000X | Community/Behavioral Health Agency | 3852 | FL | — |
| 251V00000X | Voluntary or Charitable Agency | 3852 | FL | — |

## Other

- **Enumeration date:** 04/01/2015
- **Last updated:** 04/01/2015