| Apex Professional Services | |
|
611 Wilson Ave Suite C-3 Pocatello ID 83201-5046 | |
| (208) 904-0225 | |
| (866) 704-4580 |
| Full Name | Apex Professional Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 611 Wilson Ave, Pocatello, Idaho |
| Authorized Official Name and Position | Debbi J Boyd (OWNER) |
| Authorized Official Contact | 2089040225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Apex Professional Services Po Box 2297 Pocatello ID 83206-2297 Ph: (208) 904-0225 | Apex Professional Services 611 Wilson Ave Suite C-3 Pocatello ID 83201-5046 Ph: (208) 904-0225 |
| NPI Number | 1023101862 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 10/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023101862 | NPI | - | NPPES |
| 8N607 | Other | ID | BLUE CROSS OF IDAHO |
| 000010139156 | Other | ID | REGENCE BLUE SHIELD OF ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCPC-3191 (Idaho) | Primary |
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