=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396609830
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ACHIEVE WHOLE RECOVERY PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/10/2025
-----------------------------------------------------
Last Update Date | 12/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1905 N SHERMAN ST STE 900
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80203-1130
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-373-9703
-----------------------------------------------------
Fax | 877-588-3465
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1115 ELKTON DR STE 300
-----------------------------------------------------
City | COLORADO SPRINGS
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80907-3597
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-373-9703
-----------------------------------------------------
Fax | 877-588-3465
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | RYAN L COLE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 719-357-6471
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------