=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366560617
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ACE DUI SCHOOL, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/26/2007
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4528 S SHERIDAN RD SUITE 101
-----------------------------------------------------
City | TULSA
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 74145-1140
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 918-951-3413
-----------------------------------------------------
Fax | 918-398-7938
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4528 S SHERIDAN RD SUITE 101
-----------------------------------------------------
City | TULSA
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 74145-1140
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 918-951-3413
-----------------------------------------------------
Fax | 918-398-7938
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MS. KATHY SUE WILKINSON
-----------------------------------------------------
Credential | LPC, LADC
-----------------------------------------------------
Telephone | 918-951-3413
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | OK
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251B00000X
-----------------------------------------------------
Taxonomy Name | Case Management Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
Taxonomy Code | 251V00000X
-----------------------------------------------------
Taxonomy Name | Voluntary or Charitable Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------