Healthcare Provider Details

I. General information

NPI: 1417890153
Provider Name (Legal Business Name): ASSIST2SUCCESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2561 SW GROTTO CIR
PORT ST LUCIE FL
34953-2927
US

IV. Provider business mailing address

2561 SW GROTTO CIR
PORT ST LUCIE FL
34953-2927
US

V. Phone/Fax

Practice location:
  • Phone: 786-326-8742
  • Fax:
Mailing address:
  • Phone: 786-326-8742
  • Fax: 786-326-8742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. CLAUDIA D LAURENCEAU
Title or Position: CEO
Credential: LAURENCEAU
Phone: 786-326-8742