| Achieve Behavioral Health Pa | |
|
81 Pointe Cir Ste A Greenville SC 29615-3505 | |
| (864) 991-8884 | |
| Not Available |
| Full Name | Achieve Behavioral Health Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 81 Pointe Cir Ste A, Greenville, South Carolina |
| Authorized Official Name and Position | Steven Powell (PRESIDENT, TREASURER, SECRETARY) |
| Authorized Official Contact | 6038283759 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Achieve Behavioral Health Pa 142 Milestone Way Greenville SC 29615-5065 Ph: (803) 622-5088 | Achieve Behavioral Health Pa 81 Pointe Cir Ste A Greenville SC 29615-3505 Ph: (864) 991-8884 |
| NPI Number | 1376294041 |
|---|---|
| Provider Enumeration Date | 01/14/2022 |
| Last Update Date | 09/07/2022 |
| Medicare PECOS PAC ID | 8527446715 |
|---|---|
| Medicare Enrollment ID | O20220531001033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376294041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeffrey Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215134978 PECOS PAC ID: 1658462171 Enrollment ID: I20080620000111 |
| Provider Name | Melanie L Wyrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417278425 PECOS PAC ID: 7911224688 Enrollment ID: I20150318001779 |
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