Healthcare Provider Details

I. General information

NPI: 1265992994
Provider Name (Legal Business Name): APOLLO COUNSELING INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2019
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7201 YORK AVE S APT 1220
EDINA MN
55435-4447
US

IV. Provider business mailing address

PO BOX 398161
EDINA MN
55439-8161
US

V. Phone/Fax

Practice location:
  • Phone: 651-434-2166
  • Fax:
Mailing address:
  • Phone: 651-434-2166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. SAMUEL LAIS MAJOR
Title or Position: OWNER
Credential: LMFT
Phone: 651-434-2166