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Organization
SUCCESSIONS INCORPORATED
Active
Organization
SUCCESSIONS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RHONDA WIRTH (OPERATIONS DIRECTOR)
(704) 597-0021
Entity
Organization
Contact information
Practice address
11145 METROMONT PKWY, CHARLOTTE, NC 28269-7510
(704) 597-0021
Mailing address
11145 METROMONT PKWY, CHARLOTTE, NC 28269-7510
(704) 597-0021
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
NC
207Q00000X
Family Medicine Physician
—
—
251B00000X
Case Management Agency
—
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3410122
—
NC
05
—
5914735
—
NC
05
—
6006850
—
NC
05
—
6103547
—
NC
05
—
6112235
—
NC
05
—
8300197
—
NC
05
—
8300197B
—
NC
05
—
8300197G
—
NC
05
—
8300197S
—
NC
05
—
8300197V
—
NC
05
—
8703124
—
NC
05
—
89129GK
—
NC
Enumeration date
01/30/2007
Last updated
06/29/2011
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