Provider Demographics
NPI:1326201955
Name:BULL, APRIL MOSES (MA, LPC-A)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:MOSES
Last Name:BULL
Suffix:
Gender:F
Credentials:MA, LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1136 FOX TROT DR
Mailing Address - Street 2:
Mailing Address - City:HARTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29550-8487
Mailing Address - Country:US
Mailing Address - Phone:704-994-2601
Mailing Address - Fax:704-994-2653
Practice Address - Street 1:117 WORTHAM ST
Practice Address - Street 2:
Practice Address - City:WADESBORO
Practice Address - State:NC
Practice Address - Zip Code:28170-2423
Practice Address - Country:US
Practice Address - Phone:704-994-2601
Practice Address - Fax:704-994-2653
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-03
Last Update Date:2023-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA9396101YP2500X
SC6076101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCPC1474Medicaid
SC3343Medicare PIN