Provider Demographics
NPI:1851856637
Name:ACA COUNSELING, LLC
Entity Type:Organization
Organization Name:ACA COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:T
Authorized Official - Last Name:BRUGGEMANN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:941-993-5438
Mailing Address - Street 1:14460 SUGAR BOWL RD
Mailing Address - Street 2:
Mailing Address - City:MYAKKA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34251-5983
Mailing Address - Country:US
Mailing Address - Phone:941-993-5438
Mailing Address - Fax:
Practice Address - Street 1:240 N BREVARD AVE
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:FL
Practice Address - Zip Code:34266-4406
Practice Address - Country:US
Practice Address - Phone:941-993-5438
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-05
Last Update Date:2019-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE