MEDICARE: APOLLO COUNSELING AND RESOURCE CENTER, 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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1801069570
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APOLLO COUNSELING AND RESOURCE CENTER, LLC

Provider Business Mailing Address
First Line	:	7532 HICKMAN RD
Second Line	:
City	:	WINDSOR HEIGHTS
State	:	IA
Zip	:	50322-4621
Country	:	US
Telephone Number	:	515-334-8891
Fax Number	:

Provider Business Practice Location Address
First Line	:	7532 HICKMAN RD
Second Line	:
City	:	WINDSOR HEIGHTS
State	:	IA
Zip	:	50322-4621
Country	:	US
Telephone Number	:	515-334-8891
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	MRS. ERIN LEIGH MCNAMARA
Credential	:	BS
Telephone Number	:	515-334-8891

Provider Enumeration Date	:	04/02/2008
Last Update Date	:	04/02/2008

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