Provider Demographics
NPI:1356636757
Name:ACHIEVERS COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:ACHIEVERS COUNSELING SERVICES, LLC
Other - Org Name:ACHIEVERS COUNSELING SERVICES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:KWAME
Authorized Official - Middle Name:OPOKU
Authorized Official - Last Name:EDUSEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-580-8553
Mailing Address - Street 1:5950 POPLAR HALL DR STE 105
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-3801
Mailing Address - Country:US
Mailing Address - Phone:757-580-8553
Mailing Address - Fax:757-622-8977
Practice Address - Street 1:5950 POPLAR HALL DR STE 105
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3801
Practice Address - Country:US
Practice Address - Phone:757-580-8553
Practice Address - Fax:757-622-8977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-14
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1597101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty