# GOAL SUCCEEDERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GOAL Succeeders
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184263113
- **Authorized official:** CHAZ LAMAR CLYBURN PSS, CPC (CERTIFIED PEER COUNSELOR)
- **Authorized official phone:** (757) 800-7806

## Contact information

- **Practice address:** 4401 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462-3106
- **Practice address phone:** (757) 800-7806
- **Mailing address:** 5217 SHADY GROVE LN, VIRGINIA BEACH, VA 23462-1787
- **Mailing address phone:** (757) 800-7806

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 372600000X | Adult Companion | — | NULL | Yes |
| 372600000X | Adult Companion | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2019
- **Last updated:** 12/20/2019