Apex Fresh Start Housing LLC
Community/Behavioral Health in Phoenix, AZ. Organization (NPI-2).
NPI number1932818184
StatusActive
Last updated in NPPESJul 18, 2025
Details
- NPI
- 1932818184
- Entity type
- Organization (NPI-2)
- Legal business name
- Apex Fresh Start Housing LLC
- Organization subpart
- No
- Enumeration date
- Nov 16, 2022
- Certification date
- Jul 18, 2025
- Last updated
- Jul 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 101Y00000X | Counselor | – | – | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 101YP1600X | Counselor, Pastoral | – | – | |
| 101YP2500X | Counselor, Professional | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 106H00000X | Marriage & Family Therapist | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 174200000X | Meals | – | – | |
| 251B00000X | Case Management | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 261QR0401X | Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | – | – | |
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Other names
- Arizona Fresh Start Services LLC (Other Name)
Practice location
5433 S Central AvePhoenix, AZ 85040-3050
Phone 602-689-9022
Mailing address
5029 W Desert LnLaveen, AZ 85339-7367
Phone 602-689-9022
Authorized official
Charl Mcrae
Owner/Ceo
6026899022
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