| Organization Name: | APEX PROFESSIONAL SERVICES |
| NPI Number: | 1023101862 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBBI J BOYD (OWNER) |
| Mailing Address: | 611 Wilson Ave Suite C-3 Pocatello |
| State: | ID US |
| Postal Code: | 832015046 |
| Phone Number: | 2089040225 |
| Fax Number: | 8667044580 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 10/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LCPC-3191 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |