NPIMap

Organization Active NPI

Road to Success

  • Community/Behavioral Health Agency
  • Mount Vernon, GA
National Provider Identifier
1326446659
Registry record updated Dec 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC006790 Issued in GA
Legal business name
ROAD TO SUCCESS
Practice address
305 W Spring St
Mount Vernon, GA 30445-2837
Phone
(912) 423-0498
Fax
(912) 583-0115
NPI assigned
Dec 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2014

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

Authorized official

Name
Mr. Thadeus Holloway, LPCNPI 1245597848
Title
Ceo/Counselor
Phone
(912) 423-0498

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X LPC006790 GA
Community/Behavioral Health Agency 251S00000X LPC006790 GA Primary
Early Intervention Provider Agency 252Y00000X LPC006790 GA

Addresses

Primary practice location

305 W Spring St
Mount Vernon, GA 30445-2837

Mailing address

305 W Spring St
P.O. Box 172
Mount Vernon, GA 30445-2837
Phone (912) 423-0498

Other names 1

  • RTS Other name

National Provider Directory

National Provider Directory
Tax ID family
Road to Success2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1326446659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W SPRING ST",
            "address_2": "P.O. BOX 172",
            "city": "MOUNT VERNON",
            "state": "GA",
            "postal_code": "304452837",
            "telephone_number": "912-423-0498",
            "fax_number": "912-583-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W SPRING ST",
            "city": "MOUNT VERNON",
            "state": "GA",
            "postal_code": "304452837",
            "telephone_number": "912-423-0498",
            "fax_number": "912-583-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROAD TO SUCCESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "THADEUS",
        "authorized_official_title_or_position": "CEO/COUNSELOR",
        "authorized_official_telephone_number": "912-423-0498",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": "LPC006790",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC006790",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "GA",
            "license": "LPC006790",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RTS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Vernon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.