Healthcare Provider Details

I. General information

NPI: 1558255935
Provider Name (Legal Business Name): APOGEE COUNSELING CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2615 TULIP ST APT B
PHILADELPHIA PA
19125-1818
US

IV. Provider business mailing address

7816 MINE RUN RD
HANOVER MD
21076-2601
US

V. Phone/Fax

Practice location:
  • Phone: 215-909-3669
  • Fax:
Mailing address:
  • Phone: 215-909-3669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. AMAR VIJAY DAVE
Title or Position: EXECUTIVE DIRECTOR
Credential: LCPC, LPC
Phone: 215-909-3669