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General NPI Number Information
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NPI Number | 1952141962
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Entity Type | Organization
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Legal Business Name | ACHIEVE, LLC
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Dates
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Enumeration Date | 05/28/2024
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 750 E WARM SPRINGS AVE STE B
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City | BOISE
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State | ID
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Zip | 83712-6457
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Country | US
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Telephone | 208-917-2340
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Fax | 844-927-4602
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Provider Business Mailing Address
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Address Line | 2001 E MORTIMER CT
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City | BOISE
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State | ID
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Zip | 83712-6679
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Country | US
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Telephone | 208-412-4793
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Fax | 844-927-4602
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | ALICE CASSANDRA MILLS
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Credential | LPC, NCC, CRC, WIP-C
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Telephone | 208-412-4793
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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