Provider Demographics
NPI:1124980974
Name:ACHIEVE GROWTH THERAPY
Entity type:Organization
Organization Name:ACHIEVE GROWTH THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:GATELY
Authorized Official - Suffix:IV
Authorized Official - Credentials:LMHC
Authorized Official - Phone:407-901-7672
Mailing Address - Street 1:545 N MILLS AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-5346
Mailing Address - Country:US
Mailing Address - Phone:407-901-7672
Mailing Address - Fax:
Practice Address - Street 1:545 N MILLS AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-5346
Practice Address - Country:US
Practice Address - Phone:407-901-7672
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-01
Last Update Date:2025-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)