Healthcare Provider Details

I. General information

NPI: 1376359893
Provider Name (Legal Business Name): ACHIEVING DREAMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2024
Last Update Date: 12/09/2024
Certification Date: 12/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2686 CRAIG FARM RD
LANCASTER SC
29720-0390
US

IV. Provider business mailing address

2686 CRAIG FARM RD
LANCASTER SC
29720-0390
US

V. Phone/Fax

Practice location:
  • Phone: 803-320-1088
  • Fax:
Mailing address:
  • Phone: 803-320-1088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: WAYNE BURDETTE CURRY
Title or Position: MANAGER
Credential:
Phone: 803-320-1088