Provider Demographics
NPI:1053770214
Name:ACHIEVABLE MINDS LLC
Entity type:Organization
Organization Name:ACHIEVABLE MINDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SHALA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:331-276-9401
Mailing Address - Street 1:PO BOX 19386
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77224-9386
Mailing Address - Country:US
Mailing Address - Phone:331-276-9401
Mailing Address - Fax:
Practice Address - Street 1:14250 KIMBERLEY LN
Practice Address - Street 2:#209
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-4831
Practice Address - Country:US
Practice Address - Phone:331-276-9401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-16
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care