MEDICARE: ACHIEVE MORE OUTREACH SERVICES LLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1457205122
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACHIEVE MORE OUTREACH SERVICES LLC.

Provider Business Mailing Address
First Line	:	3904 GLOUCESTER DR
Second Line	:
City	:	HOPEWELL
State	:	VA
Zip	:	23860-5339
Country	:	US
Telephone Number	:	804-324-0831
Fax Number	:	804-324-0831

Provider Business Practice Location Address
First Line	:	3904 GLOUCESTER DR
Second Line	:
City	:	HOPEWELL
State	:	VA
Zip	:	23860-5339
Country	:	US
Telephone Number	:	804-324-0831
Fax Number	:	804-324-0831

Authorized Official
Title or Position	:	PROGRAM MANAGER
Name	:	LAFAYTHIA SHORRAINE WYCHE
Credential	:
Telephone Number	:	804-324-0831

Provider Enumeration Date	:	02/20/2026
Last Update Date	:	05/21/2026

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