Provider Demographics
NPI:1174332001
Name:SK SUCCESS LLC
Entity type:Organization
Organization Name:SK SUCCESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MURTADA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHUBBAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-441-2184
Mailing Address - Street 1:831 W EULESS BLVD STE 15
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76040-4437
Mailing Address - Country:US
Mailing Address - Phone:469-441-2184
Mailing Address - Fax:469-589-1770
Practice Address - Street 1:831 W EULESS BLVD STE 15
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-4437
Practice Address - Country:US
Practice Address - Phone:469-441-2184
Practice Address - Fax:469-589-1770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-06
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty