Successful Journeys, Llc

LBN: Successful Journeys, Llc
Successful Journeys, Llc is an health care organization with primary practice located at 1518 W Comstock Dr , Chandler AZ 85224-1855. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Successful Journeys, Llc can be contacted via phone (623) 293-8022, or through Jackson, Sekou via phone (623) 293-7792.

Contact Information

Primary practice address
1518 W Comstock Dr Chandler AZ 85224-1855
Phone: (623) 293-8022
Fax: (602) 693-0628
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Sekou MA, MPA
Phone: (623) 293-7792

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1760138101
LBN Legal business name Successful Journeys, Llc
DBA Doing business as
Authorized official Jackson, Sekou MA, MPA
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2022
Last updated Feb 24th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760138101 NPPES
Arizona MEDICAID 1518

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