Provider Demographics
NPI:1619497153
Name:MCKNIGHT, APRIL MARIE (BS)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:MARIE
Last Name:MCKNIGHT
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:MARIE
Other - Last Name:MCKNIGHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:5640 READ BLVD STE 740
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-3131
Mailing Address - Country:US
Mailing Address - Phone:504-245-2440
Mailing Address - Fax:
Practice Address - Street 1:5640 READ BLVD STE 740
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-3131
Practice Address - Country:US
Practice Address - Phone:504-245-2440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-26
Last Update Date:2017-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2119292Medicaid