Achim Clinical Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

C007496 Issued in NC

Legal business name

ACHIM CLINICAL SERVICES

Practice address

8617 Boysenberry LN
Raleigh, NC 27616-6620

Phone

(919) 931-1634

NPI assigned

May 10, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Keemia Hurst Shaw, LCSW

Title

Ceo

Phone

(919) 931-1634

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1831458975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40758",
            "address_2": "8617 BOYSENBERRY LANE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276290758",
            "telephone_number": "919-934-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8617 BOYSENBERRY LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276166620",
            "telephone_number": "919-931-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIM CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "KEEMIA",
        "authorized_official_middle_name": "HURST",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-931-1634",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C007496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Achievable Dreams Today, LLC
• Achievable Therapeutic Interventions
• Achieve and Believe Therapy Solutions
• Achieve Better ABA Therapy LLC
• Achieving Milestones Therapy, LLC
• Cecilia Achuba, LPN
• Obinna J Achumba, PHARMD
• Acon Health Care Services, Inc
• Ashley Kristen Acornley, RD, LDN
• Lisbeth Acosta, LCSWA

• All providers in Raleigh, NC
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.