Healthcare Provider Details

I. General information

NPI: 1578371209
Provider Name (Legal Business Name): ACHIEVING STARS OH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2024
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 EASTON CMNS STE 125
COLUMBUS OH
43219-6223
US

IV. Provider business mailing address

1747 OLENTANGY RIVER RD # 1149
COLUMBUS OH
43212-1453
US

V. Phone/Fax

Practice location:
  • Phone: 833-666-3115
  • Fax: 833-666-1401
Mailing address:
  • Phone: 833-666-3115
  • Fax: 833-666-1401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MOSHE HIRSCHMAN
Title or Position: DIRECTOR
Credential:
Phone: 833-666-3115