Provider Demographics
NPI:1942454020
Name:FORELLA, APRIL LYNN (MS, MH9797)
Entity Type:Individual
Prefix:MS
First Name:APRIL
Middle Name:LYNN
Last Name:FORELLA
Suffix:
Gender:F
Credentials:MS, MH9797
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3307 NORTHLAKE BLVD
Mailing Address - Street 2:SUITE B104
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33403-1703
Mailing Address - Country:US
Mailing Address - Phone:561-818-6964
Mailing Address - Fax:
Practice Address - Street 1:3307 NORTHLAKE BLVD
Practice Address - Street 2:SUITE B104
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33403-1703
Practice Address - Country:US
Practice Address - Phone:561-818-6964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-16
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9797101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health