Provider Demographics
NPI:1043831332
Name:STARKS, APRIL LOUISE
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:LOUISE
Last Name:STARKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1031
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47151-1031
Mailing Address - Country:US
Mailing Address - Phone:502-523-3803
Mailing Address - Fax:
Practice Address - Street 1:17 MARTIN DR STE B
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-4632
Practice Address - Country:US
Practice Address - Phone:502-523-3803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-28
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor