Provider Demographics
NPI:1326752627
Name:SMITH, APRIL (LMFT-IT)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:LMFT-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2627 ANTHONY LN APT 9
Mailing Address - Street 2:
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53404-1755
Mailing Address - Country:US
Mailing Address - Phone:262-455-8973
Mailing Address - Fax:
Practice Address - Street 1:2627 ANTHONY LN APT 9
Practice Address - Street 2:
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53404-1755
Practice Address - Country:US
Practice Address - Phone:262-455-8973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI844-228106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist