Provider Demographics
NPI:1164061784
Name:ANDERSON, APRIL-MARIE (LMHC)
Entity Type:Individual
Prefix:
First Name:APRIL-MARIE
Middle Name:
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 BLUE LEDGE DR
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02131-4854
Mailing Address - Country:US
Mailing Address - Phone:617-259-7187
Mailing Address - Fax:617-544-2467
Practice Address - Street 1:964 PARKER ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02130-1553
Practice Address - Country:US
Practice Address - Phone:857-244-0844
Practice Address - Fax:617-544-2467
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-30
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11684101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty