Organization
SUCCESS 1 SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA L. HUNTER LIMFT (CEO)
(440) 439-9250
Entity
Organization
Contact information
Practice address
670 BROADWAY AVE, BEDFORD, OH 44146-3642
(440) 439-9250
Mailing address
670 BROADWAY AVE, BEDFORD, OH 44146-3642
(440) 439-9250
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0007152
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
031002
OH
104100000X
Social Worker
S0023943
OH
1041C0700X
Clinical Social Worker
0008746
OH
106H00000X
Marriage & Family Therapist
Primary
F051
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11762402
CAQH
OH
Enumeration date
08/12/2007
Last updated
08/12/2007
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