Provider Demographics
NPI:1518702588
Name:ASSESSMENTS CONTINUING EDUCATION AND CLINICAL SUPERVISION, INC. (ACES)
Entity type:Organization
Organization Name:ASSESSMENTS CONTINUING EDUCATION AND CLINICAL SUPERVISION, INC. (ACES)
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER AND OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TAMARA IDETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:THORN
Authorized Official - Suffix:
Authorized Official - Credentials:DSW LCSW MAC CAADC
Authorized Official - Phone:704-898-7837
Mailing Address - Street 1:3801 US HIGHWAY 17 STE 500
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-8877
Mailing Address - Country:US
Mailing Address - Phone:704-898-7837
Mailing Address - Fax:912-244-9958
Practice Address - Street 1:3801 US HIGHWAY 17 STE 500
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324-8877
Practice Address - Country:US
Practice Address - Phone:912-572-0358
Practice Address - Fax:912-244-9958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-01
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty