Provider Demographics
NPI:1285836734
Name:ESTILL, APRIL L (LCSW)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:L
Last Name:ESTILL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 RICHARDSON RD
Mailing Address - Street 2:
Mailing Address - City:PETAL
Mailing Address - State:MS
Mailing Address - Zip Code:39465-9714
Mailing Address - Country:US
Mailing Address - Phone:601-307-4058
Mailing Address - Fax:601-266-5146
Practice Address - Street 1:8 RICHARDSON RD
Practice Address - Street 2:
Practice Address - City:PETAL
Practice Address - State:MS
Practice Address - Zip Code:39465-9714
Practice Address - Country:US
Practice Address - Phone:601-307-4058
Practice Address - Fax:601-266-5146
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSC76891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical