| Aces Addiction Academy, Inc. | |
|
3801 Us Highway 17 Ste 500 Richmond Hill GA 31324-8877 | |
| (912) 572-0358 | |
| (912) 244-9958 |
| Full Name | Aces Addiction Academy, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3801 Us Highway 17 Ste 500, Richmond Hill, Georgia |
| Authorized Official Name and Position | Tamara Idette Thorn (OWNER AND OPERATOR) |
| Authorized Official Contact | 7048987837 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aces Addiction Academy, Inc. 3801 Us Highway 17 Ste 500 Richmond Hill GA 31324-8877 Ph: (704) 898-7837 | Aces Addiction Academy, Inc. 3801 Us Highway 17 Ste 500 Richmond Hill GA 31324-8877 Ph: (912) 572-0358 |
| NPI Number | 1518702588 |
|---|---|
| Provider Enumeration Date | 07/01/2024 |
| Last Update Date | 08/14/2024 |
| Certification Date | 08/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518702588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | () | Secondary |
| 1041C0700X | Social Worker - Clinical | () | Primary |
| 251S00000X | Community/behavioral Health | () | Secondary |
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