# APEX RESIDENTIAL SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730597337
- **Authorized official:** CARLA BURTON BA, QP, QDDP (COMPLIANCE)
- **Authorized official phone:** (704) 451-3124

## Contact information

- **Practice address:** 1900 TEDDINGTON DR, CHARLOTTE, NC 28214-2449
- **Practice address phone:** (704) 451-3124
- **Mailing address:** 1900 TEDDINGTON DR, CHARLOTTE, NC 28214-2449
- **Mailing address phone:** (704) 451-3124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP1600X | Pastoral Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 103T00000X | Psychologist | — | — | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | — | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 103TP2701X | Group Psychotherapy Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 07/27/2014
- **Last updated:** 07/27/2014