Provider Demographics
NPI:1669151882
Name:ACHIEVE AND SUCCEED LLC
Entity type:Organization
Organization Name:ACHIEVE AND SUCCEED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RATONYA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:ENSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-323-2347
Mailing Address - Street 1:860 HASKINS DR
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-2600
Mailing Address - Country:US
Mailing Address - Phone:757-323-2347
Mailing Address - Fax:
Practice Address - Street 1:860 HASKINS DR
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-2600
Practice Address - Country:US
Practice Address - Phone:757-323-2347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-14
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Single Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty