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Organization
ACE AWARENESS FOUNDATION
Active
Organization
ACE AWARENESS FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL L ROSS (OPERATIONS MANAGER)
(901) 249-2456
Entity
Organization
Contact information
Practice address
990 COLLEGE PARK DR STE 140, MEMPHIS, TN 38126-6519
(901) 207-3694
Mailing address
22 N FRONT ST STE 165, MEMPHIS, TN 38103-2196
(901) 249-2459
(901) 249-2299
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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