Provider Demographics
NPI:1780286179
Name:ACHIEVE PSYCHOLOGICAL AND ACADEMIC SERVICES LLC
Entity type:Organization
Organization Name:ACHIEVE PSYCHOLOGICAL AND ACADEMIC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SOPHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITEHOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, EDS
Authorized Official - Phone:440-479-6398
Mailing Address - Street 1:4014 N HAMPTON DR
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-8431
Mailing Address - Country:US
Mailing Address - Phone:614-470-4466
Mailing Address - Fax:
Practice Address - Street 1:4014 N HAMPTON DR
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-8431
Practice Address - Country:US
Practice Address - Phone:614-470-4466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-11
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Single Specialty