Provider Demographics
NPI:1912358128
Name:ACHIEVE WELLNESS, LLC
Entity Type:Organization
Organization Name:ACHIEVE WELLNESS, LLC
Other - Org Name:ACHIEVE HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUILLIAMS-CHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-832-9467
Mailing Address - Street 1:3300 BIRCH ST STE 1B
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54703-2297
Mailing Address - Country:US
Mailing Address - Phone:715-832-9467
Mailing Address - Fax:715-832-9574
Practice Address - Street 1:703 LAKELAND DR STE 1
Practice Address - Street 2:
Practice Address - City:CHIPPEWA FALLS
Practice Address - State:WI
Practice Address - Zip Code:54729-1629
Practice Address - Country:US
Practice Address - Phone:715-832-9467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-29
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service