Healthcare Provider Details

I. General information

NPI: 1003921420
Provider Name (Legal Business Name): GOOD SUCCESS CONSULTING GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

454 S ANDERSON RD STE 2 BTC 598
ROCK HILL SC
29730-3392
US

IV. Provider business mailing address

454 S ANDERSON RD STE 311 BTC 598
ROCK HILL SC
29730-3392
US

V. Phone/Fax

Practice location:
  • Phone: 803-242-0778
  • Fax: 877-752-1347
Mailing address:
  • Phone: 803-242-0778
  • Fax: 877-752-1347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberOTP - 087
License Number StateSC

VIII. Authorized Official

Name: MR. C STEVEN SWEENEY
Title or Position: PRESIDENT / EXECUTIVE DIRECTOR
Credential: M.ED.
Phone: 803-242-0778