Basic Information
| Provider Information | |||||||||
| NPI: | 1639711849 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BELIEVE AND ACHIEVE THERAPY SERVICES, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10 POWDER MILL RD | ||||||||
| Address2: | |||||||||
| City: | EXETER | ||||||||
| State: | NH | ||||||||
| PostalCode: | 038334318 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9106904033 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2020 N ACADEMY BLVD STE 278 | ||||||||
| Address2: | |||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809091568 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9102952609 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/09/2019 | ||||||||
| LastUpdateDate: | 10/09/2019 | ||||||||
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| AuthorizedOfficialLastName: | EARWOOD | ||||||||
| AuthorizedOfficialFirstName: | KENDRA | ||||||||
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| AuthorizedOfficialTitleorPosition: | MANAGING MEMBER | ||||||||
| AuthorizedOfficialTelephone: | 9106904033 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.