Aces Pediatric Behavioral Health PLLC
Organization Active NPI Adolescent and Children Mental Health Clinic/Center · Cheboygan, MI
NPI 1033835707 · NPPES record last updated Jan 28, 2023
Key facts
- NPI
- 1033835707
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adolescent and Children Mental Health Clinic/Center 261QM0855X
- Legal business name
- ACES PEDIATRIC BEHAVIORAL HEALTH PLLC
- Practice address
- 10823 N Straits Hwy Ste B
Cheboygan, MI 49721-9077 - Phone
- (231) 268-1149
- Fax
- (231) 268-3369
- NPI assigned
- Oct 14, 2022
- Organization subpart
- No
Authorized official
- Name
- Ms. Tamyra N Cooper, LCSW
- Title
- Clinical Director
- Phone
- (231) 268-1149
Practitioners 3
-
Tamyra Noelle Cooper, MSW
-
Allison Gross, LMSW-C
-
Alicia L Richey, LLMSW
National Provider Directory
Locations
10823 N Straits Hwy
#B
Cheboygan, MI 49721
Phone (231) 268-1149
217 S Huron St
Ste 1
Cheboygan, MI 49721
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Yes |
Addresses
Primary practice location
10823 N Straits Hwy Ste B
Cheboygan, MI 49721-9077
Mailing address
PO Box 122
Cheboygan, MI 49721-0122
Phone (231) 268-1149
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265098693 | Medicaid | MI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | tcooper.msw@outlook.com | Direct |
Other providers in Cheboygan, MI
- Stacy Agee
- Alcona Citizens for Health, Inc
- Alcona Citizens for Health, Inc.
- Alcona Citizens for Health, Inc.
- Alcona Citizens for Health, Inc.
All providers in Cheboygan, MI · Adolescent and Children Mental Health Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.