Provider Demographics
NPI:1225341969
Name:ALASKA COUNSELING EXCELLENCE, INC.
Entity Type:Organization
Organization Name:ALASKA COUNSELING EXCELLENCE, INC.
Other - Org Name:ACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:LYTLE
Authorized Official - Suffix:SR
Authorized Official - Credentials:LPC
Authorized Official - Phone:907-373-1083
Mailing Address - Street 1:865 N SEWARD MERIDIAN PKWY
Mailing Address - Street 2:SUITE 204
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-7241
Mailing Address - Country:US
Mailing Address - Phone:907-373-1083
Mailing Address - Fax:
Practice Address - Street 1:865 N SEWARD MERIDIAN PKWY
Practice Address - Street 2:SUITE 204
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-7241
Practice Address - Country:US
Practice Address - Phone:907-373-1083
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-23
Last Update Date:2010-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK330101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty