Provider Demographics
NPI:1336841774
Name:ASPIRATIONS BY ACHOVIA PLLC
Entity Type:Organization
Organization Name:ASPIRATIONS BY ACHOVIA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ACHOVIA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LCMHCA, LCAS,NCC
Authorized Official - Phone:336-655-5761
Mailing Address - Street 1:2637 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27105-4962
Mailing Address - Country:US
Mailing Address - Phone:336-655-5761
Mailing Address - Fax:
Practice Address - Street 1:8025 N POINT BLVD STE 132
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-3262
Practice Address - Country:US
Practice Address - Phone:336-655-5761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-20
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health