Provider Demographics
NPI:1487932034
Name:APEX THERAPEUTIC SERVICES, PLLC
Entity type:Organization
Organization Name:APEX THERAPEUTIC SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:TONI
Authorized Official - Middle Name:CHANDLER
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:910-539-8199
Mailing Address - Street 1:3220 HENDERSON DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-5250
Mailing Address - Country:US
Mailing Address - Phone:910-238-4348
Mailing Address - Fax:910-238-4374
Practice Address - Street 1:3220 HENDERSON DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-5250
Practice Address - Country:US
Practice Address - Phone:910-238-4348
Practice Address - Fax:910-238-4374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-01
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7935101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty