Provider Demographics
NPI:1679338925
Name:ACHIEVED GOALS, LLC
Entity Type:Organization
Organization Name:ACHIEVED GOALS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LEYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUMIN
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:320-316-3912
Mailing Address - Street 1:5211 GROUSE CT
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-4676
Mailing Address - Country:US
Mailing Address - Phone:303-570-8578
Mailing Address - Fax:
Practice Address - Street 1:5211 GROUSE CT
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-4676
Practice Address - Country:US
Practice Address - Phone:320-316-3912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty