Healthcare Provider Details

I. General information

NPI: 1619261690
Provider Name (Legal Business Name): ACHIEVE COUNSELING & CONSULTING ASSOCIATES PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2011
Last Update Date: 06/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14600 KING RD
RIVERVIEW MI
48193-7952
US

IV. Provider business mailing address

14600 KING RD
RIVERVIEW MI
48193-7952
US

V. Phone/Fax

Practice location:
  • Phone: 734-479-2708
  • Fax: 734-479-2736
Mailing address:
  • Phone: 734-479-2708
  • Fax: 734-479-2736

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: PAUL R SAVICKAS
Title or Position: SOLE MEMBER
Credential: PH.D.
Phone: 734-479-2708