Achievable Development Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ACHIEVABLE DEVELOPMENT SERVICES, LLC

Practice address

1124 S Wedgemont Dr
North Chesterfield, VA 23236-4811

Phone

(804) 833-6399

Fax

(804) 464-4529

NPI assigned

Aug 1, 2017

Last updated

Aug 1, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Marquise Lonnell Rose

Title

Chief Executive Officer

Phone

(804) 833-6399

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501545600000",
    "number": "1063936979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 S WEDGEMONT DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232364811",
            "telephone_number": "804-833-6399",
            "fax_number": "804-464-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 S WEDGEMONT DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232364811",
            "telephone_number": "804-833-6399",
            "fax_number": "804-464-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVABLE DEVELOPMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "MARQUISE",
        "authorized_official_middle_name": "LONNELL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "804-833-6399",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.