MEDICARE: APEX COUNSELING SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1407012750
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APEX COUNSELING SERVICES, LLC

Provider Business Mailing Address
First Line	:	5310 EAST MAIN STREET
Second Line	:	SUITE 102
City	:	COLUMBUS
State	:	OH
Zip	:	43213-2598
Country	:	US
Telephone Number	:	614-571-1090
Fax Number	:	614-571-1091

Provider Business Practice Location Address
First Line	:	5310 EAST MAIN STREET
Second Line	:	SUITE 102
City	:	COLUMBUS
State	:	OH
Zip	:	43213-2598
Country	:	US
Telephone Number	:	614-571-1090
Fax Number	:	614-571-1091

Authorized Official
Title or Position	:	PRACTICE ADMINISTRATOR
Name	:	MS. MARYANNE G. BOSER
Credential	:
Telephone Number	:	614-571-1090

Provider Enumeration Date	:	08/05/2008
Last Update Date	:	05/29/2012

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