Achievement Center Of Lecom Health
Community/Behavioral Health in Erie, PA. Organization (NPI-2).
NPI number1124181953
StatusActive
Last updated in NPPESSep 29, 2020
Details
- NPI
- 1124181953
- Entity type
- Organization (NPI-2)
- Legal business name
- Achievement Center Of Lecom Health
- Organization subpart
- No
- Enumeration date
- Dec 19, 2006
- Certification date
- Sep 29, 2020
- Last updated
- Sep 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | – | – | |
| 225100000X | Physical Therapist | – | – | |
| 225X00000X | Occupational Therapist | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | PA | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
4950 W 23rd StSuite 1
Erie, PA 16506
Phone 814-459-2755 · Fax 814-456-4873
Mailing address
4950 W 23rd St Ste 1Erie, PA 16506-5802
Phone 814-459-2755 · Fax 814-456-4873
Authorized official
Christine Richards
Supervisor Or Client Billing
8146160509
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