Provider Demographics
NPI:1427485788
Name:APEX COUNSELING, LLC.
Entity type:Organization
Organization Name:APEX COUNSELING, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JON
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKENZIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-583-2099
Mailing Address - Street 1:145 NW CENTRAL PARK PLZ
Mailing Address - Street 2:SUITE 113
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986-2482
Mailing Address - Country:US
Mailing Address - Phone:772-333-2199
Mailing Address - Fax:772-333-2293
Practice Address - Street 1:145 NW CENTRAL PARK PLZ
Practice Address - Street 2:SUITE 113
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986-2482
Practice Address - Country:US
Practice Address - Phone:772-333-2199
Practice Address - Fax:772-333-2293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-02
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1956AD873601324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility