=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508730680
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | APRIL HART
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/02/2025
-----------------------------------------------------
Last Update Date | 10/20/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1153 BLACK DIAMOND DR
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28034-9412
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 980-613-9580
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 615 S COLLEGE ST
-----------------------------------------------------
City | CHARLOTTE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28202-3354
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 980-613-9580
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------