=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093249377
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SUCCESS BY STRENGTHS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/13/2017
-----------------------------------------------------
Last Update Date | 05/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6255 N CAMINO PIMERIA ALTA APT 34
-----------------------------------------------------
City | TUCSON
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85718-3618
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 269-767-1245
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2026 BLACKMOUNTAIN DR SE
-----------------------------------------------------
City | CALEDONIA
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49316-7686
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 269-767-1245
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | LMSW/LCSW
-----------------------------------------------------
Name | DAWN MARIE CONROY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 269-767-1245
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 6801065854
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------