Healthcare Provider Details

I. General information

NPI: 1609453042
Provider Name (Legal Business Name): APRIL ADAMS MS, CMHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2021
Last Update Date: 03/24/2021
Certification Date: 03/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 HIGHWAY 51 N
BROOKHAVEN MS
39601-2337
US

IV. Provider business mailing address

582 WOODSON DR
JACKSON MS
39206-2235
US

V. Phone/Fax

Practice location:
  • Phone: 601-823-2345
  • Fax:
Mailing address:
  • Phone: 601-594-2656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: