Successful Women Acknowledged

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

3852 Issued in FL

Legal business name

SUCCESSFUL WOMEN ACKNOWLEDGED

Practice address

5991 Chester Ave Ste 211
Jacksonville, FL 32217-2245

Phone

(904) 566-0200

NPI assigned

Apr 1, 2015

Organization subpart

Yes

Parent organization

SUCCESSFUL WOMEN ACKNOWLEDGEDAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tiffany S Wells, B.S. M.S. CWCM, CPI

Title

Founder Ceo

Phone

(904) 566-0200

Specialties & licenses 4

Addresses

Part of

Successful Women Acknowledged

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1053706507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5991 CHESTER AVE STE 211",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5991 CHESTER AVE STE 211",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172245",
            "telephone_number": "904-566-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESSFUL WOMEN ACKNOWLEDGED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUCCESSFUL WOMEN ACKNOWLEDGED",
        "enumeration_date": "2015-04-01",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "FOUNDER CEO",
        "authorized_official_telephone_number": "904-566-0200",
        "authorized_official_credential": "B.S. M.S. CWCM, CPI"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "3852",
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "FL",
            "license": "3852",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "3852",
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "FL",
            "license": "3852",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.