Healthcare Provider Details

I. General information

NPI: 1326254954
Provider Name (Legal Business Name): APPLE VALLEY COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 11/29/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 WEST A STREET
YAKIMA WA
98902-2605
US

IV. Provider business mailing address

611 WEST A STREET
YAKIMA WA
98902-2605
US

V. Phone/Fax

Practice location:
  • Phone: 509-452-1000
  • Fax: 509-452-1004
Mailing address:
  • Phone: 509-452-1000
  • Fax: 509-452-1004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. TANNER RAPP JR.
Title or Position: OWNER
Credential: ARNP
Phone: 509-961-6336