Southeastern Success Center, LLC
NPI 1659800167 · Professional Counselor · Camden, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southeastern Success Center, LLC is a Professional Counselor organization in Camden, SC (NPI 1659800167).
Provider details
- NPI number
- 1659800167
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Mary Bridges, Owner(803) 713-7979
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 3612 Landmark Dr Ste BColumbia, SC 29204-4039Phone: (803) 779-3548Fax: (803) 779-7055
Registry dates
- Enumerated
- 2017-06-08
- Last updated
- 2023-10-06
- Certified
- 2023-10-06
Frequently asked questions
- What is Southeastern Success Center, LLC's NPI number?
- Southeastern Success Center, LLC's National Provider Identifier (NPI) is 1659800167, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeastern Success Center, LLC?
- Southeastern Success Center, LLC is classified in the NPPES registry as Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Southeastern Success Center, LLC located?
- Southeastern Success Center, LLC's practice location on file with NPPES is 911 Lyttleton St, Camden, SC 29020-4412.
- What is Southeastern Success Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southeastern Success Center, LLC is (803) 713-7979.
- Does Southeastern Success Center, LLC accept Medicare?
- Southeastern Success Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southeastern Success Center, LLC?
- The authorized official listed on Southeastern Success Center, LLC's NPPES record is Mary Bridges, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeastern Success Center, LLC's NPI active?
- Yes — Southeastern Success Center, LLC's NPI (1659800167) is active in the NPPES registry as of the last update on 2023-10-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.