Healthcare Provider Details

I. General information

NPI: 1942682265
Provider Name (Legal Business Name): APRIL FOILES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2015
Last Update Date: 07/17/2023
Certification Date: 07/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 HENRY ST STE 407
ALTON IL
62002-6326
US

IV. Provider business mailing address

86 EASTMOOR DR
WOOD RIVER IL
62095-4017
US

V. Phone/Fax

Practice location:
  • Phone: 618-374-0176
  • Fax:
Mailing address:
  • Phone: 618-462-2331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178008835
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number178008835
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: