Healthcare Provider Details

I. General information

NPI: 1588038350
Provider Name (Legal Business Name): APRILL MOXLEY LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2015
Last Update Date: 08/02/2021
Certification Date: 08/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 LEAMINGTON RD
BRIGHTON MA
02135-4016
US

IV. Provider business mailing address

26 LEAMINGTON RD
BRIGHTON MA
02135-4016
US

V. Phone/Fax

Practice location:
  • Phone: 978-844-1088
  • Fax:
Mailing address:
  • Phone: 978-844-1088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: