Provider Demographics
NPI:1902092315
Name:SUCCESSIONS INCORPORATED
Entity Type:Organization
Organization Name:SUCCESSIONS INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERACIONS DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:VERACIERTA
Authorized Official - Suffix:
Authorized Official - Credentials:BS,QP
Authorized Official - Phone:704-597-0021
Mailing Address - Street 1:11145 METROMONT PKWY
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-7510
Mailing Address - Country:US
Mailing Address - Phone:704-597-0021
Mailing Address - Fax:704-597-0170
Practice Address - Street 1:11145 METROMONT PKWY
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-7510
Practice Address - Country:US
Practice Address - Phone:704-597-0021
Practice Address - Fax:704-597-0170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-19
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8300197Medicaid