Healthcare Provider Details

I. General information

NPI: 1992234660
Provider Name (Legal Business Name): ACHIEVE WNC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2017
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 E CHESTNUT ST
ASHEVILLE NC
28801-2577
US

IV. Provider business mailing address

225 E CHESTNUT ST STE 100
ASHEVILLE NC
28801-2582
US

V. Phone/Fax

Practice location:
  • Phone: 828-552-3771
  • Fax: 828-319-2812
Mailing address:
  • Phone: 828-552-3771
  • Fax: 828-319-2812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: JACKIE LATEK
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 828-775-0540