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NPI Code Detail

MEDICARE: APEX COUNSELING, LLC.

MEDICARE: APEX COUNSELING, 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
1324500000XSubstance Abuse Rehabilitation Facility1956AD873601FL

General Provider Information

NPI Number : 1427485788
Entity Type Code : Organization
Provider Name (Legal Business Name) : APEX COUNSELING, LLC.
Provider Business Mailing Address
First Line : 145 NW CENTRAL PARK PLZ
Second Line : SUITE 113
City : PORT ST LUCIE
State : FL
Zip : 34986-2482
Country : US
Telephone Number : 772-333-2199
Fax Number : 772-333-2293
Provider Business Practice Location Address
First Line : 145 NW CENTRAL PARK PLZ
Second Line : SUITE 113
City : PORT ST LUCIE
State : FL
Zip : 34986-2482
Country : US
Telephone Number : 772-333-2199
Fax Number : 772-333-2293
Authorized Official
Title or Position : OWNER
Name : JON MCKENZIE
Credential :
Telephone Number : 910-583-2099
Provider Enumeration Date : 10/02/2013
Last Update Date : 10/02/2013

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Directions to “APEX COUNSELING, LLC. ” Practice Location

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