Provider Demographics
NPI:1700093382
Name:ACHIEVE SUCCESS INC
Entity Type:Organization
Organization Name:ACHIEVE SUCCESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:VALERIE
Authorized Official - Last Name:REIFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-795-0323
Mailing Address - Street 1:302 BENJAMIN CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28540-3050
Mailing Address - Country:US
Mailing Address - Phone:910-581-0103
Mailing Address - Fax:
Practice Address - Street 1:302 BENJAMIN CT
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540-3050
Practice Address - Country:US
Practice Address - Phone:910-581-0103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty