Provider Demographics
NPI:1114341815
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:MS
Authorized Official - First Name:GWEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRASER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-404-2490
Mailing Address - Street 1:2487 KIMBERLY RD UNIT B
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-7902
Mailing Address - Country:US
Mailing Address - Phone:208-404-2490
Mailing Address - Fax:208-735-8176
Practice Address - Street 1:2487 KIMBERLY RD UNIT B
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-7902
Practice Address - Country:US
Practice Address - Phone:208-404-2490
Practice Address - Fax:208-735-8176
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ECLIPSE INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-02-15
Last Update Date:2014-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health