Healthcare Provider Details

I. General information

NPI: 1922554906
Provider Name (Legal Business Name): ACHIEVEMENT THERAPY SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2016
Last Update Date: 11/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32531 N SCOTTSDALE RD #105-162
SCOTTSDALE AZ
85266-1519
US

IV. Provider business mailing address

32531 N SCOTTSDALE RD #105-162
SCOTTSDALE AZ
85266-1519
US

V. Phone/Fax

Practice location:
  • Phone: 480-488-3946
  • Fax:
Mailing address:
  • Phone: 480-488-3946
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number235Z00000X
License Number StateAZ

VIII. Authorized Official

Name: RYAN R SHERMAN
Title or Position: OWNER
Credential:
Phone: 602-319-7324