Provider Demographics
NPI:1437832870
Name:APEX HEALTH AND WELLNESS LLC
Entity Type:Organization
Organization Name:APEX HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALHADI
Authorized Official - Middle Name:
Authorized Official - Last Name:DALDUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-795-9940
Mailing Address - Street 1:2020 N 32ND ST APT 116
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-2949
Mailing Address - Country:US
Mailing Address - Phone:480-454-4861
Mailing Address - Fax:
Practice Address - Street 1:15215 S 48TH ST STE 156
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-9139
Practice Address - Country:US
Practice Address - Phone:480-454-4861
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty