| Success Behavioral Health Services | |
|
5000 New Point Rd Ste 3202 Williamsburg VA 23188-9423 | |
| (757) 903-2253 | |
| (757) 914-1461 |
| Full Name | Success Behavioral Health Services |
|---|---|
| Speciality | Counselor |
| Location | 5000 New Point Rd Ste 3202, Williamsburg, Virginia |
| Authorized Official Name and Position | Douglas Allen Brown (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7576453558 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Success Behavioral Health Services 5000 New Point Rd Ste 3202 Williamsburg VA 23188-9423 Ph: (757) 903-2253 | Success Behavioral Health Services 5000 New Point Rd Ste 3202 Williamsburg VA 23188-9423 Ph: (757) 903-2253 |
| NPI Number | 1952812810 |
|---|---|
| Provider Enumeration Date | 10/18/2017 |
| Last Update Date | 06/02/2023 |
| Certification Date | 06/02/2023 |
| Medicare PECOS PAC ID | 4880025162 |
|---|---|
| Medicare Enrollment ID | O20200521000601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952812810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Douglas A Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750322004 PECOS PAC ID: 4789577396 Enrollment ID: I20060619000255 |
| Provider Name | Cynthia Pledger Palmaz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952398745 PECOS PAC ID: 2668815614 Enrollment ID: I20240207001762 |
| Provider Name | Stacey Reid Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245708460 PECOS PAC ID: 5991141459 Enrollment ID: I20240307001117 |
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