Aces Pediatric Behavioral Health Pllc
LBN: Aces Pediatric Behavioral Health Pllc
Aces Pediatric Behavioral Health Pllc is an health care organization with primary practice located at 10823 N Straits Hwy Ste B , Cheboygan MI 49721-9077. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty.
Aces Pediatric Behavioral Health Pllc can be contacted via phone (231) 268-1149, or through Cooper, Tamyra N via phone (231) 268-1149.
Contact Information
Primary practice address
10823 N Straits Hwy Ste B
Cheboygan MI 49721-9077
Phone: (231) 268-1149
Fax: (231) 268-3369
Website:
Authorized official contact:
Name: Cooper, Tamyra N Licensed Clinical Social Worker (LCSW)
Phone: (231) 268-1149
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
NPI number | 1033835707 |
---|---|
LBN Legal business name | Aces Pediatric Behavioral Health Pllc |
DBA Doing business as | |
Authorized official | Cooper, Tamyra N Licensed Clinical Social Worker (LCSW) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 14th, 2022 |
Last updated | Jan 28th, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033835707 | NPPES |
Michigan | MEDICAID | 1265098693 |
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