MEDICARE: MRS. APRIL D REESE LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	006331	GA

General Provider Information

NPI Number	:	1629342811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. APRIL D REESE LPC

Provider Business Mailing Address
First Line	:	PO BOX 1113
Second Line	:
City	:	HIRAM
State	:	GA
Zip	:	30141-1113
Country	:	US
Telephone Number	:	678-964-1649
Fax Number	:	404-324-4191

Provider Business Practice Location Address
First Line	:	5604 WENDY BAGWELL PKWY STE 222
Second Line	:
City	:	HIRAM
State	:	GA
Zip	:	30141-7814
Country	:	US
Telephone Number	:	678-964-1649
Fax Number	:	770-485-6417

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2012
Last Update Date	:	02/08/2021

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