Provider Demographics
NPI:1952769531
Name:ACHIEVE, LLC
Entity Type:Organization
Organization Name:ACHIEVE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:
Authorized Official - Last Name:PIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-708-8314
Mailing Address - Street 1:2301 CROWNPOINT EXECUTIVE DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28227-7824
Mailing Address - Country:US
Mailing Address - Phone:704-708-8314
Mailing Address - Fax:704-708-8315
Practice Address - Street 1:2301 CROWNPOINT EXECUTIVE DR
Practice Address - Street 2:SUITE E
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28227-7824
Practice Address - Country:US
Practice Address - Phone:704-708-8314
Practice Address - Fax:704-708-8315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-10
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0146077103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty