Healthcare Provider Details

I. General information

NPI: 1619888930
Provider Name (Legal Business Name): APRIL M BACHRODT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 E MOUNTAIN ST STE 34
FAYETTEVILLE AR
72701-6067
US

IV. Provider business mailing address

19 E MOUNTAIN ST STE 34
FAYETTEVILLE AR
72701-6067
US

V. Phone/Fax

Practice location:
  • Phone: 479-425-3594
  • Fax: 479-275-2557
Mailing address:
  • Phone: 479-425-3594
  • Fax: 479-275-2557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: APRIL M BACHRODT
Title or Position: OWNER
Credential: LCSW
Phone: 479-425-3594