Provider Demographics
NPI:1952141962
Name:ACHIEVE, LLC
Entity type:Organization
Organization Name:ACHIEVE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:CASSANDRA
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC, CRC, WIP-C
Authorized Official - Phone:208-412-4793
Mailing Address - Street 1:2001 E MORTIMER CT
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83712-6679
Mailing Address - Country:US
Mailing Address - Phone:208-412-4793
Mailing Address - Fax:844-927-4602
Practice Address - Street 1:750 E WARM SPRINGS AVE STE B
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83712-6457
Practice Address - Country:US
Practice Address - Phone:208-917-2340
Practice Address - Fax:844-927-4602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health