Organization · NPI-2

Ace Mentality LLC

Nurse Practitioner, Psych/Mental Health · Madison, WI

NPI number1194339424
StatusActive
Last updated in NPPESFeb 18, 2021

Details

NPI
1194339424
Entity type
Organization (NPI-2)
Legal business name
Ace Mentality LLC
Organization subpart
No
Enumeration date
Sep 3, 2020
Certification date
Feb 18, 2021
Last updated
Feb 18, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental Health––Yes
261QM1300X Clinic/Center, Multi-Specialty––
261QM2500X Clinic/Center, Medical Specialty––
363L00000X Nurse Practitioner––
163WP0808X Registered Nurse, Psych/Mental Health––
163WP0809X Registered Nurse, Psych/Mental Health, Adult––
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––
261QM0850X Clinic/Center, Adult Mental Health––
261QM0855X Clinic/Center, Adolescent and Children Mental Health––

Other names

  • Ace Mentality (Doing Business As)

Practice location

2810 Crossroads Dr Ste 4000
Madison, WI 53718-8014

Phone 855-300-9893 · Fax 855-300-9893

Mailing address

2810 Crossroads Dr Ste 4000
Madison, WI 53718-8014

Phone 855-300-9893 · Fax 855-300-9893

Authorized official

Elizabeth C Armstrong
Ceo/Pmhnp
6084436645

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