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NPI Code Detail

MEDICARE: ACCOMPLISHED ENTERPRISES INC

MEDICARE: ACCOMPLISHED ENTERPRISES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2101YA0400XAddiction (Substance Use Disorder) Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275018566
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACCOMPLISHED ENTERPRISES INC
Provider Business Mailing Address
First Line : 2797 S MARYLAND PKWY STE 13
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-1576
Country : US
Telephone Number : 702-210-9896
Fax Number :
Provider Business Practice Location Address
First Line : 2797 S MARYLAND PKWY STE 13
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-1576
Country : US
Telephone Number : 702-210-9896
Fax Number :
Authorized Official
Title or Position : CEO
Name : PHILIP A OJO
Credential :
Telephone Number : 702-210-9896
Provider Enumeration Date : 10/02/2018
Last Update Date : 10/02/2018

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Directions to “ACCOMPLISHED ENTERPRISES INC ” Practice Location

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