Acw Management Group Incorporated

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ACW MANAGEMENT GROUP INCORPORATED

Doing business as

Another Chance Wellness

Practice address

43302 Cottage LN
Lancaster, CA 93536-5453

Phone

(661) 478-0203

NPI assigned

Oct 21, 2017

Last updated

Oct 21, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sheretta Deion Thomas-Lee, LCSW

Title

Ceo/ Lead Clinician

Phone

(661) 478-0203

Specialties & licenses 4

Addresses

Other names 1

• Another Chance Wellness Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508544000000",
    "number": "1740791391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43302 COTTAGE LN",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935365453",
            "telephone_number": "661-478-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43302 COTTAGE LN",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935365453",
            "telephone_number": "661-478-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACW MANAGEMENT GROUP INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-21",
        "last_updated": "2017-10-21",
        "status": "A",
        "authorized_official_last_name": "THOMAS-LEE",
        "authorized_official_first_name": "SHERETTA",
        "authorized_official_middle_name": "DEION",
        "authorized_official_title_or_position": "CEO/ LEAD CLINICIAN",
        "authorized_official_telephone_number": "661-478-0203",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Another Chance Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.