NPI Code Details Logo

NPI 1467335281

NPI 1467335281 : AP BEHAVIORAL HEALTH LLC : MISSOURI VALLEY, IA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1467335281
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    AP BEHAVIORAL HEALTH LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/29/2025
-----------------------------------------------------
    Last Update Date     |    09/09/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3218 ITALY AVE 
-----------------------------------------------------
    City                 |    MISSOURI VALLEY
-----------------------------------------------------
    State                |    IA
-----------------------------------------------------
    Zip                  |    51555-5053
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    712-571-0082
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3108 LEAWOOD DR 
-----------------------------------------------------
    City                 |    BELLEVUE
-----------------------------------------------------
    State                |    NE
-----------------------------------------------------
    Zip                  |    68123-2152
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    712-571-0082
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    COUNSELOR/OWNER
-----------------------------------------------------
    Name                 |     PAIGE  BOLDT 
-----------------------------------------------------
    Credential           |    LMHC
-----------------------------------------------------
    Telephone            |    712-571-0082
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.