Organization
ACED IT ENTERPRISES LLC
Active
Other names
Ace of Hearts
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN COCKERHAM (OWNER)
(336) 977-5686
Entity
Organization
Contact information
Practice address
5041 WINSTER CIR APT 202, WINSTON SALEM, NC 27106-2986
(336) 779-5686
Mailing address
5041 WINSTER CIR APT 202, WINSTON SALEM, NC 27106-2986
(336) 779-5686
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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