Provider Demographics
NPI:1639736838
Name:ACHIEVE WELLNESS, LLC
Entity Type:Organization
Organization Name:ACHIEVE WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDING-FAUTH
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:978-891-4928
Mailing Address - Street 1:26 PILLSBURY RD
Mailing Address - Street 2:
Mailing Address - City:E HAMPSTEAD
Mailing Address - State:NH
Mailing Address - Zip Code:03826-2502
Mailing Address - Country:US
Mailing Address - Phone:978-891-4928
Mailing Address - Fax:978-945-4787
Practice Address - Street 1:191 MERRIMACK ST STE 712
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-6145
Practice Address - Country:US
Practice Address - Phone:978-891-4928
Practice Address - Fax:978-945-4787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-22
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health