Provider Demographics
NPI:1225576812
Name:ACOLLECTIVE CONSULTING LLC
Entity type:Organization
Organization Name:ACOLLECTIVE CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BIGE
Authorized Official - Middle Name:MONYEA
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:610-800-0550
Mailing Address - Street 1:PO BOX 1121
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:PA
Mailing Address - Zip Code:19015-0121
Mailing Address - Country:US
Mailing Address - Phone:484-490-6944
Mailing Address - Fax:484-482-6638
Practice Address - Street 1:710 SPROUL ST
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-4209
Practice Address - Country:US
Practice Address - Phone:484-490-6944
Practice Address - Fax:484-482-6638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-03
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA142430322D00000X, 3245S0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
No3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children