Organization · Type 2 NPI

Achieve Behavioral Health PA

Addiction Medicine (Family Medicine) Physician · Irmo, SC

NPI number 1114645173 Active

Practice location

108 Oak Park Dr Ste C
Irmo, SC 29063-6109

Call (864) 991-8884 Map

Mailing address

142 Milestone Way
Greenville, SC 29615-5065

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Addiction Medicine (Family Medicine) Physician Primary	207QA0401X	None listed

Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.

Another provider at this address

Pamela Kristin Stafford, M.A.Professional Counselor Irmo, SC NPI 1083924591

NPI record

NPI: 1114645173
Entity type: Organization (Type 2)
Issued: Aug 16, 2022
Last updated: Sep 7, 2022
Status: Active
Subpart: Yes of Achieve Behavioral Health PA

Other names

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Vertical Treatment Centers Columbia · doing business as
Vertical Treatment Centers Columbia · doing business as

Authorized official

Dr. Steven Powell, MD
President, Treasurer, Secretary
(603) 828-3759

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114645173

Achieve Behavioral Health PA's National Provider Identifier is 1114645173, issued on Aug 16, 2022. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Irmo, SC. The record was last updated on Sep 7, 2022.