Provider Demographics
NPI:1760111462
Name:APRIL BASHAM LLC
Entity Type:Organization
Organization Name:APRIL BASHAM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN/BILLING ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:YOKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-407-8291
Mailing Address - Street 1:449 DUNN MOON RD
Mailing Address - Street 2:
Mailing Address - City:SMITHS GROVE
Mailing Address - State:KY
Mailing Address - Zip Code:42171
Mailing Address - Country:US
Mailing Address - Phone:270-783-1325
Mailing Address - Fax:
Practice Address - Street 1:449 DUNN MOON RD
Practice Address - Street 2:
Practice Address - City:SMITHS GROVE
Practice Address - State:KY
Practice Address - Zip Code:42171
Practice Address - Country:US
Practice Address - Phone:270-783-1325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-08
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty