=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225720832
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | APRIL FAUST COUNSELING SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/23/2023
-----------------------------------------------------
Last Update Date | 06/08/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 122 W LANCASTER AVE STE 205
-----------------------------------------------------
City | SHILLINGTON
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19607-1874
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 484-619-2182
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 604 N 26TH ST
-----------------------------------------------------
City | READING
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19606-1602
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | APRIL FAUST
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 484-619-2182
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------