Organization
ACHIEVEMENT CENTER OF LECOM HEALTH
Active
Organization
ACHIEVEMENT CENTER OF LECOM HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE RICHARDS (SUPERVISOR OR CLIENT BILLING)
(814) 616-0509
Entity
Organization
Contact information
Practice address
4950 W 23RD ST, SUITE 1, ERIE, PA 16506
(814) 459-2755
(814) 456-4873
Mailing address
4950 W 23RD ST STE 1, ERIE, PA 16506-5802
(814) 459-2755
(814) 456-4873
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
12/19/2006
Last updated
09/29/2020
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