Provider Demographics
NPI:1487649158
Name:CRISP, APRIL BABB (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:BABB
Last Name:CRISP
Suffix:
Gender:F
Credentials:MS, LPC
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 268
Mailing Address - Street 2:
Mailing Address - City:TENNILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31089-0268
Mailing Address - Country:US
Mailing Address - Phone:478-552-0786
Mailing Address - Fax:
Practice Address - Street 1:140 JERRY BRANTLEY LN
Practice Address - Street 2:
Practice Address - City:TENNILLE
Practice Address - State:GA
Practice Address - Zip Code:31089-3421
Practice Address - Country:US
Practice Address - Phone:478-552-0786
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC003434101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional