MEDICARE: SUCCESS BY STRENGTHS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	6801065854	MI

General Provider Information

NPI Number	:	1093249377
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUCCESS BY STRENGTHS LLC

Provider Business Mailing Address
First Line	:	6255 N CAMINO PIMERIA ALTA APT 34
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718-3618
Country	:	US
Telephone Number	:	269-767-1245
Fax Number	:

Provider Business Practice Location Address
First Line	:	6255 N CAMINO PIMERIA ALTA APT 34
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718-3618
Country	:	US
Telephone Number	:	269-767-1245
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	DAWN M CONROY
Credential	:
Telephone Number	:	269-767-1245

Provider Enumeration Date	:	04/13/2017
Last Update Date	:	04/06/2026

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