Organization
AP THERAPEUTIC PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRIA POE LCSW (OWNER)
(601) 207-0774
Entity
Organization
Contact information
Practice address
16 KAS VILLA ACRES, SULLIVAN, IL 61951-9107
(601) 207-0774
Mailing address
16 KAS VILLA ACRES, SULLIVAN, IL 61951-9107
(601) 207-0774
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/09/2023
Last updated
06/20/2025
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