OrganizationActive
Ap Therapeutic Practice LLC
NPI 1134833718 · Clinical Social Worker · Sullivan, IL
Provider details
- NPI number
- 1134833718
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Alexandria Poe, Owner(601) 207-0774
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
16 Kas Villa Acres
Sullivan, IL 61951-9107
Phone: (601) 207-0774
Approximate (ZIP-level) locationGet directions
Mailing address
16 Kas Villa Acres
Sullivan, IL 61951-9107
Registry dates
- Enumerated
- 2023-01-09
- Last updated
- 2025-06-20
- Certified
- 2025-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.