Organization · NPI-2

Ace Awareness Foundation

Counselor, Mental Health · Memphis, TN

NPI number1144748633
StatusActive
Last updated in NPPESSep 5, 2017

Details

NPI
1144748633
Entity type
Organization (NPI-2)
Legal business name
Ace Awareness Foundation
Organization subpart
No
Enumeration date
Sep 5, 2017
Last updated
Sep 5, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes
1041C0700X Social Worker, Clinical––

Practice location

990 College Park Dr Ste 140
Memphis, TN 38126-6519

Phone 901-207-3694

Mailing address

22 N Front St Ste 165
Memphis, TN 38103-2196

Phone 901-249-2459 · Fax 901-249-2299

Authorized official

Krystal L Ross
Operations Manager
9012492456

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