Healthcare Provider Details

I. General information

NPI: 1689437857
Provider Name (Legal Business Name): REACH A.K.G. EDUCATION CONSULTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2024
Last Update Date: 01/31/2024
Certification Date: 01/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 DEVANT ST STE 606
FAYETTEVILLE GA
30214-2715
US

IV. Provider business mailing address

101 DEVANT ST STE 606
FAYETTEVILLE GA
30214-2715
US

V. Phone/Fax

Practice location:
  • Phone: 888-274-6630
  • Fax: 404-407-5381
Mailing address:
  • Phone: 888-274-6630
  • Fax: 404-407-5381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: DR. KIRNEL DANIEL
Title or Position: FOUNDER/PRESIDENT/CEO
Credential: PH.D.
Phone: 404-407-5383