Organization
APEX PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBI JO BOYD MC, LCPC (OWNER)
(208) 904-0225
Entity
Organization
Contact information
Practice address
611 WILSON AVE, SUITE 3-C, 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
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LCPC-3191
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8062104
—
ID
Enumeration date
05/07/2007
Last updated
08/22/2020
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