Healthcare Provider Details

I. General information

NPI: 1174302764
Provider Name (Legal Business Name): MS. APRIL LAWRIE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2023
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118-35 QUEENS BLVD. SUITE 400
FOREST HILLS NY
11375
US

IV. Provider business mailing address

195 WILLOUGHBY AVE APT 303
BROOKLYN NY
11205-3835
US

V. Phone/Fax

Practice location:
  • Phone: 917-382-8632
  • Fax:
Mailing address:
  • Phone: 646-621-5980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC01284100
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number009759
License Number StateCT
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number017148
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: