Healthcare Provider Details
I. General information
NPI: 1558900894
Provider Name (Legal Business Name): APEX COUNSELING PARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/03/2020
Last Update Date: 01/03/2020
Certification Date: 01/03/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
21430 LORAIN RD STE 110
FAIRVIEW PARK OH
44126-2148
US
IV. Provider business mailing address
21430 LORAIN RD STE 110
FAIRVIEW PARK OH
44126-2148
US
V. Phone/Fax
- Phone: 216-302-4309
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KIMBERLY
PARKINSON
Title or Position: OWNER/COUNSELOR
Credential: LPCC
Phone: 216-470-1801