1578010062 NPI number — ACHIEVE PSYCHIATRIC HEALTH & WELLNESS

Table of content: (NPI 1578010062)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578010062 NPI number — ACHIEVE PSYCHIATRIC HEALTH & WELLNESS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ACHIEVE PSYCHIATRIC HEALTH & WELLNESS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578010062
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/03/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2630 WEST FWY STE 230
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FORT WORTH
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76102-7171
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
682-219-5258
Provider Business Mailing Address Fax Number:
817-529-1171

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2630 WEST FWY STE 230
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FORT WORTH
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76102-7171
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
682-219-5258
Provider Business Practice Location Address Fax Number:
888-927-8168
Provider Enumeration Date:
09/01/2016

Additional Information

Authorized Official

Authorized Official Last Name:
STEINERT
Authorized Official First Name:
JAMIE
Authorized Official Middle Name:
T
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
682-219-5258

Provider Taxonomy Codes

  • Taxonomy code: 363LP0808X , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com