Provider Demographics
NPI:1528814498
Name:ACHIEVE MENTAL HEALTH AND WELLNESS, PLLC
Entity type:Organization
Organization Name:ACHIEVE MENTAL HEALTH AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TANNER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:508-978-1945
Mailing Address - Street 1:23 ARLINE DR
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01543-1466
Mailing Address - Country:US
Mailing Address - Phone:508-868-4469
Mailing Address - Fax:
Practice Address - Street 1:579 PLEASANT ST STE 1
Practice Address - Street 2:
Practice Address - City:PAXTON
Practice Address - State:MA
Practice Address - Zip Code:01612-1307
Practice Address - Country:US
Practice Address - Phone:508-978-1945
Practice Address - Fax:508-213-3675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-30
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty