Provider Demographics
NPI:1851336937
Name:APEX COUNSELING CENTER, LLC
Entity Type:Organization
Organization Name:APEX COUNSELING CENTER, LLC
Other - Org Name:NONE
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:JD
Authorized Official - Last Name:BROWN PH.D.
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:410-522-1181
Mailing Address - Street 1:3200 EASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-4010
Mailing Address - Country:US
Mailing Address - Phone:410-522-1181
Mailing Address - Fax:410-522-1182
Practice Address - Street 1:3200 EASTERN AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-4010
Practice Address - Country:US
Practice Address - Phone:410-522-1181
Practice Address - Fax:410-522-1182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14184261QM0801X
MD261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD405159900Medicaid
MD537607Medicare PIN