| Achieve Wellness, Llc | |
| 
					191 Merrimack St Ste 712 Haverhill MA 01830-6145  | |
| (978) 891-4928 | |
| (978) 945-4787 | 
| Full Name | Achieve Wellness, Llc | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 191 Merrimack St Ste 712, Haverhill, Massachusetts | 
| Authorized Official Name and Position | Rebecca Harding-fauth (MANAGER) | 
| Authorized Official Contact | 9788914928 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Achieve Wellness, Llc 26 Pillsbury Rd E Hampstead NH 03826-2502 Ph: (978) 891-4928  | Achieve Wellness, Llc 191 Merrimack St Ste 712 Haverhill MA 01830-6145 Ph: (978) 891-4928  | 
| NPI Number | 1639736838 | 
|---|---|
| Provider Enumeration Date | 05/22/2019 | 
| Last Update Date | 05/22/2019 | 
| Medicare PECOS PAC ID | 8325372717 | 
|---|---|
| Medicare Enrollment ID | O20200514000309 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1639736838 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary | 
| Provider Name | Rebecca D Harding Fauth | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1265855530 PECOS PAC ID: 6901021161 Enrollment ID: I20140701001349  | 
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