Provider Demographics
NPI:1629342811
Name:REESE, APRIL D (LPC)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:D
Last Name:REESE
Suffix:
Gender:F
Credentials: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 1113
Mailing Address - Street 2:
Mailing Address - City:HIRAM
Mailing Address - State:GA
Mailing Address - Zip Code:30141-1113
Mailing Address - Country:US
Mailing Address - Phone:678-964-1649
Mailing Address - Fax:404-324-4191
Practice Address - Street 1:5604 WENDY BAGWELL PKWY STE 222
Practice Address - Street 2:
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141-7814
Practice Address - Country:US
Practice Address - Phone:678-964-1649
Practice Address - Fax:770-485-6417
Is Sole Proprietor?:No
Enumeration Date:2012-03-06
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006331101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional