Provider Demographics
NPI:1184460982
Name:NORCROSS, APRIL S (LLC)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:S
Last Name:NORCROSS
Suffix:
Gender:F
Credentials:LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5563 OSBORNE AVE SE
Mailing Address - Street 2:
Mailing Address - City:KENTWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:49548-5878
Mailing Address - Country:US
Mailing Address - Phone:231-649-3407
Mailing Address - Fax:
Practice Address - Street 1:2845 44TH ST SW STE 102
Practice Address - Street 2:
Practice Address - City:GRANDVILLE
Practice Address - State:MI
Practice Address - Zip Code:49418-2678
Practice Address - Country:US
Practice Address - Phone:616-422-5272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451023734101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional