Provider Demographics
NPI:1750687398
Name:ACHIEVEMENT BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:ACHIEVEMENT BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT /CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:
Authorized Official - Last Name:LUJAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:702-287-0948
Mailing Address - Street 1:5426 LAKE CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-2007
Mailing Address - Country:US
Mailing Address - Phone:702-287-0948
Mailing Address - Fax:702-664-0674
Practice Address - Street 1:5426 LAKE CHARLES ST
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-2007
Practice Address - Country:US
Practice Address - Phone:702-287-0948
Practice Address - Fax:702-664-0674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-30
Last Update Date:2011-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20101751431251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health