Provider Demographics
NPI:1578932547
Name:ACHILLES, MARY
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:
Last Name:ACHILLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4155 MOUNTAIN VIEW RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-7626
Mailing Address - Country:US
Mailing Address - Phone:717-728-9159
Mailing Address - Fax:
Practice Address - Street 1:4155 MOUNTAIN VIEW RD
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-7626
Practice Address - Country:US
Practice Address - Phone:717-728-9159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-21
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health