Achilles, Georgianna M

Achilles, Georgianna M is an individual health care provider with primary practice located at 454 Rolling Ridge Dr. , Port Matilda PA 16870. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Achilles, Georgianna M can be contacted via phone (814) 235-1100.

Contact Information

Primary practice address
454 Rolling Ridge Dr. Port Matilda PA 16870
Phone: (814) 235-1100
Fax: (814) 235-1101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 0810003856 Virginia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810003856 Virginia
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 0810003856 Virginia

Profile Details

NPI number 1548444268
LBN Legal business name Achilles, Georgianna M
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2007
Last updated Apr 13th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548444268 NPPES
Pennsylvania MEDICAID 1024294500001

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