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General NPI Number Information
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NPI Number | 1003921420
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Entity Type | Organization
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Legal Business Name | GOOD SUCCESS CONSULTING GROUP, LLC
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 454 S ANDERSON RD STE 2 BTC 598
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City | ROCK HILL
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State | SC
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Zip | 29730-3392
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Country | US
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Telephone | 803-242-0778
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Fax | 877-752-1347
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Provider Business Mailing Address
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Address Line | 454 S ANDERSON RD STE 311 BTC 598
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City | ROCK HILL
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State | SC
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Zip | 29730-3392
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Country | US
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Telephone | 803-242-0778
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Fax | 877-752-1347
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Authorized Official
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Title or Position | PRESIDENT / EXECUTIVE DIRECTOR
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Name | MR. C STEVEN SWEENEY
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Credential | M.ED.
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Telephone | 803-242-0778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | OTP - 087
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License Number State | SC
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