Provider Demographics
NPI:1245381169
Name:THE AC GROUP INC.
Entity Type:Organization
Organization Name:THE AC GROUP INC.
Other - Org Name:AC GROUP INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TEREIA
Authorized Official - Middle Name:SIDDEN
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCAS, LPC, CCS
Authorized Official - Phone:336-786-5855
Mailing Address - Street 1:107 W INDEPENDENCE BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MOUNT AIRY
Mailing Address - State:NC
Mailing Address - Zip Code:27030-3589
Mailing Address - Country:US
Mailing Address - Phone:336-786-5855
Mailing Address - Fax:336-786-4769
Practice Address - Street 1:107 W INDEPENDENCE BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:MOUNT AIRY
Practice Address - State:NC
Practice Address - Zip Code:27030-3589
Practice Address - Country:US
Practice Address - Phone:336-786-5855
Practice Address - Fax:336-786-4769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty