CLUB SUCCESS
NPI 1023332111
Counselor - Mental Health in Charlotte, NC

Active since March 18, 2010
6004 NUTHATCH CT, CHARLOTTE, NC 28277(980) 213-6400 Get Directions Write a Review

NPPES record last updated: March 18, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Club Success NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLUB SUCCESS (NPI 1023332111) is a healthcare organization registered as a mental health in Charlotte, North Carolina and active in the NPI registry since March 2010. The organization lists Balrie Parks, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1023332111
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCLUB SUCCESS
Location Address6004 NUTHATCH CTCharlotte, NC 28277-5524
Mailing Address6004 Nuthatch CtCharlotte, NC 28277-5524 · (980) 213-6400
Organization SubpartNo
Authorized OfficialBalrie ParksExecutive Director · (980) 213-6400
Enumeration DateMarch 18, 2010
NPI 1023332111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
6004 NUTHATCH CT, Charlotte, NC 28277

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
6004 NUTHATCH CT
CHARLOTTE, NC 28277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Club Success's NPI number?

The NPI number for Club Success is 1023332111. It was assigned to this organization in the NPPES registry on March 18, 2010.

Where is Club Success located?

Club Success is located at 6004 Nuthatch Ct, Charlotte, NC 28277. The listed phone number is (980) 213-6400.

What is Club Success's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Club Success was last updated on March 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.