Provider Demographics
NPI:1629557350
Name:ACHIEVEMENT CONSULTING SERVICES, LLC
Entity Type:Organization
Organization Name:ACHIEVEMENT CONSULTING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LBS
Authorized Official - Phone:610-393-8692
Mailing Address - Street 1:501 WASHINGTON LN STE 304
Mailing Address - Street 2:
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-3148
Mailing Address - Country:US
Mailing Address - Phone:610-393-8692
Mailing Address - Fax:
Practice Address - Street 1:501 WASHINGTON LN STE 304
Practice Address - Street 2:
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-3148
Practice Address - Country:US
Practice Address - Phone:610-393-8692
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-13
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA214565251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA=========Medicaid