Healthcare Provider Details

I. General information

NPI: 1346136199
Provider Name (Legal Business Name): ACE COUNSELING GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2025
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 E LAKE ST STE 1220
CHICAGO IL
60601-5939
US

IV. Provider business mailing address

14007 S BELL RD STE 183
HOMER GLEN IL
60491-8463
US

V. Phone/Fax

Practice location:
  • Phone: 708-553-0602
  • Fax:
Mailing address:
  • Phone: 708-553-0602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KELLIE CALDERON
Title or Position: OWNER
Credential: LCPC
Phone: 708-945-0085