| Achieve Wellness Group Llc | |
|
13039 W Linebaugh Ave Building V, Suite 101 Tampa FL 33626-4483 | |
| (888) 531-1313 | |
| (888) 551-6035 |
| Full Name | Achieve Wellness Group Llc |
|---|---|
| Speciality | Psychologist |
| Location | 13039 W Linebaugh Ave, Tampa, Florida |
| Authorized Official Name and Position | Lisa Iannelli Correa (PRESIDENT) |
| Authorized Official Contact | 8885311313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Achieve Wellness Group Llc 13039 W Linebaugh Ave Building V, Suite 101 Tampa FL 33626-4483 Ph: (888) 531-1313 | Achieve Wellness Group Llc 13039 W Linebaugh Ave Building V, Suite 101 Tampa FL 33626-4483 Ph: (888) 531-1313 |
| NPI Number | 1669619342 |
|---|---|
| Provider Enumeration Date | 01/16/2009 |
| Last Update Date | 03/09/2011 |
| Medicare PECOS PAC ID | 7113084187 |
|---|---|
| Medicare Enrollment ID | O20090318000249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669619342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Darlene Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154597128 PECOS PAC ID: 6709830359 Enrollment ID: I20050308000315 |
| Provider Name | Henry Raphael Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518005107 PECOS PAC ID: 5991877243 Enrollment ID: I20080702000438 |
| Provider Name | Kristin K Keough |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598068223 PECOS PAC ID: 1557541091 Enrollment ID: I20110215000962 |
| Provider Name | Jessica Anne Deeb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114240777 PECOS PAC ID: 2062663735 Enrollment ID: I20121107000151 |
| Provider Name | Kirsti M Harrin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104162882 PECOS PAC ID: 3375796774 Enrollment ID: I20130116000005 |
| Provider Name | Suchithra Hirode |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023442290 PECOS PAC ID: 2567697600 Enrollment ID: I20131028000906 |
| Provider Name | Michelle B Ayala Feliciano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790082501 PECOS PAC ID: 7416176409 Enrollment ID: I20140924002227 |
| Provider Name | Jacqueline A Bartlett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952468134 PECOS PAC ID: 0345478566 Enrollment ID: I20150105002133 |
| Provider Name | Jeffrey B Walden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184960817 PECOS PAC ID: 6204077118 Enrollment ID: I20151026000509 |
| Provider Name | Sabrina M Martin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972976157 PECOS PAC ID: 6305148123 Enrollment ID: I20160111000723 |
| Provider Name | Jesse H Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629453469 PECOS PAC ID: 2668770504 Enrollment ID: I20160411000701 |
| Provider Name | Paula K Reilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275622375 PECOS PAC ID: 5991750994 Enrollment ID: I20170526001011 |
| Provider Name | Jonathan D Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912407628 PECOS PAC ID: 8426302571 Enrollment ID: I20181108002377 |
| Provider Name | Kenya L King |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962980292 PECOS PAC ID: 1052656899 Enrollment ID: I20181221002185 |
| Provider Name | Marianne Y Alfaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558949990 PECOS PAC ID: 4789093915 Enrollment ID: I20210429001226 |
| Provider Name | Helen Catherine Lancy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962135178 PECOS PAC ID: 3173999018 Enrollment ID: I20221019000016 |
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