| Ap Therapeutic Practice | |
|
16 Kas Villa Acres Sullivan IL 61951-9107 | |
| (601) 207-0774 | |
| Not Available |
| Full Name | Ap Therapeutic Practice |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 16 Kas Villa Acres, Sullivan, Illinois |
| Authorized Official Name and Position | Alexandria Poe (OWNER) |
| Authorized Official Contact | 6012070774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ap Therapeutic Practice 16 Kas Villa Acres Sullivan IL 61951-9107 Ph: (601) 207-0774 | Ap Therapeutic Practice 16 Kas Villa Acres Sullivan IL 61951-9107 Ph: (601) 207-0774 |
| NPI Number | 1134833718 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 01/09/2023 |
| Certification Date | 01/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134833718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Moultrie County Mental Health Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12 W Harrison St, Sullivan, IL 61951 Phone: 217-728-4358 Fax: 217-728-2270 |