Healthcare Provider Details

I. General information

NPI: 1265353494
Provider Name (Legal Business Name): ACE MENTAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2006 1ST AVE STE 208
ANOKA MN
55303-2233
US

IV. Provider business mailing address

21761 DRAKE ST NW
OAK GROVE MN
55011-9228
US

V. Phone/Fax

Practice location:
  • Phone: 612-743-3538
  • Fax:
Mailing address:
  • Phone: 612-414-1700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MARSHA M NELSON
Title or Position: PSYCHIATRY NURSE PRACTITIONER
Credential: DNP,APRN,PMHNP
Phone: 651-266-7977