Wellformed AI

NPI 1194271999 · live from the CMS NPI Registry

Achieve Wellness, LLC

Social Worker, Clinical in Orange, CT. National Provider Identifier 1194271999, active.

NPI record

NPI1194271999 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location236 Boston Post Rd, Suite 8, Orange, CT 06477
Practice phone203-767-9966
Mailing address68 Hall Dr, Orange, CT 06477
EnumeratedAugust 31, 2016
Last updatedAugust 31, 2016
Authorized officialMeagan Scott, LCSW

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X008184 (CT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.