Provider Demographics
NPI:1356930705
Name:THE ACHIEVE COLLECTIVE
Entity type:Organization
Organization Name:THE ACHIEVE COLLECTIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINICAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:LEORA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARRY
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:802-272-2013
Mailing Address - Street 1:168 SHEA AVE
Mailing Address - Street 2:
Mailing Address - City:BELCHERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01007-9329
Mailing Address - Country:US
Mailing Address - Phone:802-272-2013
Mailing Address - Fax:
Practice Address - Street 1:200 BAY RD
Practice Address - Street 2:
Practice Address - City:HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01035-9793
Practice Address - Country:US
Practice Address - Phone:413-835-0260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty