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General NPI Number Information
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NPI Number | 1194339424
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Entity Type | Organization
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Legal Business Name | ACE MENTALITY LLC
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Dates
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Enumeration Date | 09/03/2020
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Last Update Date | 02/18/2021
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Provider Practice Location Address
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Address Line | 2810 CROSSROADS DR STE 4000
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City | MADISON
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State | WI
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Zip | 53718-8014
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Country | US
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Telephone | 855-300-9893
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Fax | 855-300-9893
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Provider Business Mailing Address
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Address Line | 2810 CROSSROADS DR STE 4000
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City | MADISON
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State | WI
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Zip | 53718-8014
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Country | US
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Telephone | 855-300-9893
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Fax | 855-300-9893
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Authorized Official
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Title or Position | CEO/PMHNP
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Name | ELIZABETH C ARMSTRONG
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Credential |
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Telephone | 608-443-6645
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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