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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 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 4000Madison, WI 53718-8014
Phone 855-300-9893 · Fax 855-300-9893
Mailing address
2810 Crossroads Dr Ste 4000Madison, WI 53718-8014
Phone 855-300-9893 · Fax 855-300-9893
Authorized official
Elizabeth C Armstrong
Ceo/Pmhnp
6084436645
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