Healthcare Provider Details
I. General information
NPI: 1932157328
Provider Name (Legal Business Name): APO COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1553 STEWARTSTOWN RD
MORGANTOWN WV
26505-2947
US
IV. Provider business mailing address
1553 STEWARTSTOWN RD
MORGANTOWN WV
26505-2947
US
V. Phone/Fax
- Phone: 304-284-8438
- Fax: 304-284-8486
- Phone: 304-284-8438
- Fax: 304-284-8486
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 1033 |
| License Number State | WV |
VIII. Authorized Official
Name: MR.
ANTHONY
P
ONORATO
Title or Position: OPERATING MANAGER
Credential: M.A., LPC, CCAC
Phone: 304-284-8438