| Apex Professional Services | |
|
611 Wilson Ave Suite 3-c Pocatello ID 83201-5046 | |
| (208) 904-0225 | |
| (866) 704-4580 |
| Full Name | Apex Professional Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 611 Wilson Ave, Pocatello, Idaho |
| Authorized Official Name and Position | Debbi Jo 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 3-c Pocatello ID 83201-5046 Ph: (208) 904-0225 |
| NPI Number | 1528271897 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528271897 | NPI | - | NPPES |
| 8062104 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LCPC-3191 (Idaho) | Primary |
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