Provider Demographics
NPI:1205393949
Name:ACE WELLNESS CENTER
Entity Type:Organization
Organization Name:ACE WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPCC/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NILISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-725-6796
Mailing Address - Street 1:8725 HONEYCUT DR
Mailing Address - Street 2:
Mailing Address - City:NORTH RIDGEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44039-6424
Mailing Address - Country:US
Mailing Address - Phone:440-725-6796
Mailing Address - Fax:
Practice Address - Street 1:8725 HONEYCUT DR
Practice Address - Street 2:
Practice Address - City:NORTH RIDGEVILLE
Practice Address - State:OH
Practice Address - Zip Code:44039-6424
Practice Address - Country:US
Practice Address - Phone:440-725-6796
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-01
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty