Healthcare Provider Details

I. General information

NPI: 1093451791
Provider Name (Legal Business Name): APRIL KNIGHT LMHC PHD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2022
Last Update Date: 05/06/2022
Certification Date: 04/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 IRENES WAY
VINEYARD HAVEN MA
02568
US

IV. Provider business mailing address

455 STATE RD PMB 374
VINEYARD HAVEN MA
02568
US

V. Phone/Fax

Practice location:
  • Phone: 508-927-1611
  • Fax:
Mailing address:
  • Phone: 508-927-1611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: APRIL SIMONE KNIGHT
Title or Position: OWNER/PRACTITIONER
Credential: LMHC PHD PC
Phone: 508-927-1611