Provider Demographics
NPI:1346712726
Name:APEX PSYCHIATRIC SERVICES, LLC
Entity Type:Organization
Organization Name:APEX PSYCHIATRIC SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:DURRANCE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:850-807-0138
Mailing Address - Street 1:308 S JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32502-5969
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:308 S JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32502-5969
Practice Address - Country:US
Practice Address - Phone:850-807-0138
Practice Address - Fax:850-361-2128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-22
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)