Provider Demographics
NPI:1295515393
Name:APEX MENTAL HEALTH, PLLC
Entity type:Organization
Organization Name:APEX MENTAL HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CLARENCE
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:RUNNELS
Authorized Official - Suffix:III
Authorized Official - Credentials:NURSE PRACTITIONER
Authorized Official - Phone:919-601-6442
Mailing Address - Street 1:523 KEISLER DR STE 202
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7099
Mailing Address - Country:US
Mailing Address - Phone:919-601-6442
Mailing Address - Fax:919-890-9587
Practice Address - Street 1:523 KEISLER DR STE 202
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7099
Practice Address - Country:US
Practice Address - Phone:919-601-6442
Practice Address - Fax:919-890-9587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-05
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty