Provider Demographics
NPI:1477727832
Name:APEX BEHAVIORAL CONSULTANTS
Entity Type:Organization
Organization Name:APEX BEHAVIORAL CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MAURIO
Authorized Official - Middle Name:MAURICE
Authorized Official - Last Name:LAYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-833-9245
Mailing Address - Street 1:4051 CHARLESTON RD
Mailing Address - Street 2:UNIT 1-E
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-2650
Mailing Address - Country:US
Mailing Address - Phone:708-833-9245
Mailing Address - Fax:
Practice Address - Street 1:17065 DIXIE HWY
Practice Address - Street 2:SUITE 16
Practice Address - City:HAZEL CREST
Practice Address - State:IL
Practice Address - Zip Code:60429-1376
Practice Address - Country:US
Practice Address - Phone:708-833-9245
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty