NPI 1669619342 · live from the CMS NPI Registry
Achieve Wellness Group LLC
Psychologist, Clinical in Tampa, FL. National Provider Identifier 1669619342, active.
NPI record
| NPI | 1669619342 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 13039 W Linebaugh Ave, Building V, Suite 101, Tampa, FL 33626 |
| Practice phone | 888-531-1313 |
| Enumerated | January 16, 2009 |
| Last updated | March 9, 2011 |
| Authorized official | Lisa Correa, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | — |
| Psychologist, Clinical primary | 103TC0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.