Provider Demographics
NPI:1609674860
Name:ACHIEVING TRUE SELF
Entity type:Organization
Organization Name:ACHIEVING TRUE SELF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEARS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-287-2036
Mailing Address - Street 1:3465 BOX HILL CORPORATE CENTER DR STE H
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-1261
Mailing Address - Country:US
Mailing Address - Phone:866-297-2036
Mailing Address - Fax:
Practice Address - Street 1:3465 BOX HILL CORPORATE CENTER DR STE H
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-1261
Practice Address - Country:US
Practice Address - Phone:866-297-2036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-04
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty