Organization
APEX RESIDENTIAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA BURTON BA, QP, QDDP (COMPLIANCE)
(704) 451-3124
Entity
Organization
Contact information
Practice address
1900 TEDDINGTON DR, CHARLOTTE, NC 28214-2449
(704) 451-3124
Mailing address
1900 TEDDINGTON DR, CHARLOTTE, NC 28214-2449
(704) 451-3124
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
—
—
Other
Enumeration date
07/27/2014
Last updated
07/27/2014
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