Healthcare Provider Details

I. General information

NPI: 1891505061
Provider Name (Legal Business Name): ACHIEVE THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2025
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1393 SANDWICH DR
SANDWICH IL
60548-9319
US

IV. Provider business mailing address

1393 SANDWICH DR
SANDWICH IL
60548-9319
US

V. Phone/Fax

Practice location:
  • Phone: 630-551-5062
  • Fax:
Mailing address:
  • Phone: 630-551-5062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: RHEANNA HENDRICKS
Title or Position: OWNER
Credential: LCSW
Phone: 815-570-9728