Organization
APEX PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBI J BOYD MC, NCC, LCPC (OWNER)
(208) 904-0225
Entity
Organization
Contact information
Practice address
611 WILSON AVE, SUITE C-3, POCATELLO, ID 83201-5046
(208) 904-0225
(866) 704-4580
Mailing address
PO BOX 2297, POCATELLO, ID 83206-2297
(208) 904-0225
(866) 704-4580
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-3191
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010139156
REGENCE BLUE SHIELD OF ID
ID
01
—
8N607
BLUE CROSS OF IDAHO
ID
Enumeration date
10/02/2006
Last updated
10/13/2008
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