Be a Success Enterprises LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

SW 8873 Issued in FL

Legal business name

BE A SUCCESS ENTERPRISES LLC

Practice address

14210 SE 85TH Ave
Summerfield, FL 34491-9380

Phone

(352) 347-3577

NPI assigned

Mar 19, 2008

Last updated

Jul 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barbara Elgin, MSW, LCSW

Title

Founder and Ceo

Phone

(352) 347-3577

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1093986820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14210 SE 85TH AVE",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344919380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14210 SE 85TH AVE",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344919380",
            "telephone_number": "352-347-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE A SUCCESS ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "ELGIN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "FOUNDER AND CEO",
        "authorized_official_telephone_number": "352-347-3577",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW 8873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Summerfield, FL
• Providers in Summerfield, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.