Provider Demographics
NPI:1568564235
Name:ACE MENTAL HEALTH SERVICES
Entity Type:Organization
Organization Name:ACE MENTAL HEALTH SERVICES
Other - Org Name:NA
Other - Org Type:Other Name
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:OKWUCHUKWU
Authorized Official - Last Name:IGWILO
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:713-516-6662
Mailing Address - Street 1:6722 WALNUT SQ
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-7550
Mailing Address - Country:US
Mailing Address - Phone:713-516-6662
Mailing Address - Fax:
Practice Address - Street 1:6722 WALNUT SQ
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-7550
Practice Address - Country:US
Practice Address - Phone:713-516-6662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-02
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18951101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty